Provider Demographics
NPI:1013145945
Name:HOPE FOR YOUTH
Entity Type:Organization
Organization Name:HOPE FOR YOUTH
Other - Org Name:HFY
Other - Org Type:Other Name
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:AGNES
Authorized Official - Middle Name:MAGDALENA
Authorized Official - Last Name:AMMIRATI
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:631-782-6536
Mailing Address - Street 1:201 DIXON AVE
Mailing Address - Street 2:
Mailing Address - City:AMITYVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11701-2832
Mailing Address - Country:US
Mailing Address - Phone:631-691-5100
Mailing Address - Fax:631-842-7977
Practice Address - Street 1:201 DIXON AVE
Practice Address - Street 2:
Practice Address - City:AMITYVILLE
Practice Address - State:NY
Practice Address - Zip Code:11701-2832
Practice Address - Country:US
Practice Address - Phone:631-691-5100
Practice Address - Fax:631-842-7977
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-30
Last Update Date:2009-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP69613251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health