Provider Demographics
NPI:1245522283
Name:FAMILY SOLUTIONS OF LONG ISLAND INC
Entity type:Organization
Organization Name:FAMILY SOLUTIONS OF LONG ISLAND INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ALFRED
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSENVINGE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-R
Authorized Official - Phone:631-754-6425
Mailing Address - Street 1:49 WEST FORT SALONGA ROAD
Mailing Address - Street 2:
Mailing Address - City:NORTHPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11768-1436
Mailing Address - Country:US
Mailing Address - Phone:631-754-6425
Mailing Address - Fax:
Practice Address - Street 1:49 WEST FORT SALONGA ROAD
Practice Address - Street 2:
Practice Address - City:NORTHPORT
Practice Address - State:NY
Practice Address - Zip Code:11768-1436
Practice Address - Country:US
Practice Address - Phone:631-754-6425
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-10
Last Update Date:2011-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR-036135251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health