Provider Demographics
NPI:1326823691
Name:COUNSELING OF LONG ISLAND
Entity Type:Organization
Organization Name:COUNSELING OF LONG ISLAND
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MAGRI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-286-1188
Mailing Address - Street 1:601 FRANKLIN AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11530-5760
Mailing Address - Country:US
Mailing Address - Phone:516-286-1188
Mailing Address - Fax:
Practice Address - Street 1:601 FRANKLIN AVE STE 200
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:NY
Practice Address - Zip Code:11530-5760
Practice Address - Country:US
Practice Address - Phone:516-286-1188
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-25
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Single Specialty