Provider Demographics
NPI:1952654964
Name:NASSAU VET CENTER 0138
Entity Type:Organization
Organization Name:NASSAU VET CENTER 0138
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TEAM LEADER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JEANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:MORRISON
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:516-348-0088
Mailing Address - Street 1:970 S BROADWAY
Mailing Address - Street 2:
Mailing Address - City:HICKSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11801-5019
Mailing Address - Country:US
Mailing Address - Phone:516-348-0088
Mailing Address - Fax:516-203-0266
Practice Address - Street 1:970 S BROADWAY
Practice Address - Street 2:
Practice Address - City:HICKSVILLE
Practice Address - State:NY
Practice Address - Zip Code:11801-5019
Practice Address - Country:US
Practice Address - Phone:516-348-0088
Practice Address - Fax:516-203-0266
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-16
Last Update Date:2012-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty