SOUTHEAST NASSAU GUIDANCE CENTER INC. (NPI# 1295745214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295745214 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST NASSAU GUIDANCE CENTER INC. |
| Practice Address |
2146 Jackson Ave Seaford NY 11783-2606 |
| Practice Telephone | 5162213030 |
| Practice Fax Number | 5162211013 |
| Mailing Telephone | 5162213030 |
| Mailing Fax Number | 5162211013 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2008-12-31 |
| Authorized Official Name | MS. JULIE OLIVA (CLINICAL ADMINISTRATOR) |
| Authorized Official Telephone | 5162213030 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083718779 | Southeast Nassau Guidance Center Inc. | Clinic/Center | 2146 Jackson Ave, Seaford, NY 11783-2606 | 2006-09-12 |
| 1124131461 | Southeast Nassau Guidance Center Inc. | Community/Behavioral Health | 3375 Park Ave, Wantagh, NY 11793-3733 | 2006-08-17 |
| Street Address |
2146 JACKSON AVE |
| City | SEAFORD |
| State | NY |
| Zip Code | 11783-2606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013957117 | Ursula Adams | Nurse Practitioner | 2146 Jackson Ave, Seaford, NY 11783-2606 | 2006-06-07 |
| 1033634589 | Jennifer Marie Herzog | Social Worker | 2146 Jackson Ave, Seaford, NY 11783-2606 | 2017-08-06 |
| 1407398480 | Samantha-marie Inesti | Social Worker | 2146 Jackson Ave, Seaford, NY 11783-2606 | 2016-11-08 |
| 1881092146 | Lois Stein | Social Worker | 2146 Jackson Ave, Seaford, NY 11783-2606 | 2014-12-18 |
| 1396155677 | Anne Schmidt | Social Worker | 2146 Jackson Ave, Seaford, NY 11783-2606 | 2014-05-07 |
| 1376883017 | Vincent Brooks | Social Worker | 2146 Jackson Ave, Seaford, NY 11783-2606 | 2013-02-17 |
| 1104185701 | Marjorie Fricano | Nurse Practitioner | 2146 Jackson Ave, Seaford, NY 11783-2606 | 2012-05-16 |
| 1023386059 | Jennifer Collins | Social Worker | 2146 Jackson Ave, Seaford, NY 11783-2606 | 2011-12-05 |
| 1770876518 | Christine Wilhelm | Social Worker | 2146 Jackson Ave, Seaford, NY 11783-2606 | 2011-05-26 |
| 1699094334 | Maryann Greco-dombrowski | Social Worker | 2146 Jackson Ave, Seaford, NY 11783-2606 | 2010-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174165633 | Emily Rose Demino | Physician Assistant | 3833 Morton Lane, Seaford, NY 11783 | 2019-10-16 |
| 1396260857 | Melissa Cestro | Social Worker | 2565 Harvard Lane, Seaford, NY 11783 | 2017-08-07 |
| 1033535745 | Ronna Pine | Licensed Practical Nurse | 3894 Jane Court, Seaford, NY 11783 | 2014-03-06 |
| 1871831974 | Joanne Sheridan | Speech-Language Pathologist | 751 Seamans Neck Road, East Broadway School, Seaford, NY 11783 | 2013-01-24 |
| 1154685840 | Cindy Schiralli | Specialist | The Hagedorn Little Village School, 650 Hicksville Road, Seaford, NY 11783 | 2012-06-27 |
| 1124389085 | Rosemary Ross | Specialist | 750 Hicksville Road, Seaford, NY 11783 | 2012-06-06 |
| 1760755326 | Seymour Tobin | Family Medicine | 4008 New York Ave, Seaford, NY 11783 | 2012-02-13 |
| 1104198811 | Lisl I Kast | Dentist | 3579 Merrick Rd, Senford, NY 11783 | 2012-01-27 |
| 1609146869 | Lisa Louise Gagliano | Speech-Language Pathologist | 1839 Dogwood Lane, Seaford, NY 11783 | 2012-01-05 |
| 1073843728 | Laura Musillo | Registered Nurse | 4125 Bayberry Lane, Seaford, NY 11783 | 2009-12-31 |
| Find all providers in zip 11783 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.