Provider Demographics
NPI:1386833515
Name:THE COMMUNITY PROGRAMS CENTER OF L.I.
Entity Type:Organization
Organization Name:THE COMMUNITY PROGRAMS CENTER OF L.I.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF CPC
Authorized Official - Prefix:MS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:A
Authorized Official - Last Name:GEARY
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:631-585-2020
Mailing Address - Street 1:2210 SMITHTOWN AVE
Mailing Address - Street 2:
Mailing Address - City:RONKONKOMA
Mailing Address - State:NY
Mailing Address - Zip Code:11779-7329
Mailing Address - Country:US
Mailing Address - Phone:631-585-2020
Mailing Address - Fax:631-585-8681
Practice Address - Street 1:2210 SMITHTOWN AVE
Practice Address - Street 2:
Practice Address - City:RONKONKOMA
Practice Address - State:NY
Practice Address - Zip Code:11779-7329
Practice Address - Country:US
Practice Address - Phone:631-585-2020
Practice Address - Fax:631-585-8681
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-24
Last Update Date:2007-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care