Provider Demographics
NPI:1366674525
Name:LONG ISLAND HEALTH CARE, LLC
Entity Type:Organization
Organization Name:LONG ISLAND HEALTH CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MARILYN
Authorized Official - Middle Name:
Authorized Official - Last Name:CAFASSO
Authorized Official - Suffix:
Authorized Official - Credentials:CRNI/DON
Authorized Official - Phone:516-352-1294
Mailing Address - Street 1:99 TULIP AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:FLORAL PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11001-1959
Mailing Address - Country:US
Mailing Address - Phone:516-352-1294
Mailing Address - Fax:516-328-9150
Practice Address - Street 1:99 TULIP AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:FLORAL PARK
Practice Address - State:NY
Practice Address - Zip Code:11001-1959
Practice Address - Country:US
Practice Address - Phone:516-352-1294
Practice Address - Fax:516-328-9150
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-20
Last Update Date:2009-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1330L001251F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251F00000XAgenciesHome Infusion
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1330L001OtherNYS DEPARTMENT OF HEALTH