Provider Demographics
NPI:1356000475
Name:HAITIAN AMERICAN FAMILY OF LONG ISLAND
Entity Type:Organization
Organization Name:HAITIAN AMERICAN FAMILY OF LONG ISLAND
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARYSE
Authorized Official - Middle Name:LAMERCIE
Authorized Official - Last Name:EMMANUEL-GARCY
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:151-652-4672
Mailing Address - Street 1:294 W MERRICK RD STE 7
Mailing Address - Street 2:
Mailing Address - City:FREEPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11520-3357
Mailing Address - Country:US
Mailing Address - Phone:516-628-9405
Mailing Address - Fax:
Practice Address - Street 1:294 W MERRICK RD STE 7
Practice Address - Street 2:
Practice Address - City:FREEPORT
Practice Address - State:NY
Practice Address - Zip Code:11520-3357
Practice Address - Country:US
Practice Address - Phone:516-628-9405
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-16
Last Update Date:2021-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty