Provider Demographics
NPI:1942388293
Name:SILVER POINT CENTER INC.
Entity type:Organization
Organization Name:SILVER POINT CENTER INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARYELLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:BLANK
Authorized Official - Suffix:
Authorized Official - Credentials:NURSE PRACTIONER
Authorized Official - Phone:631-467-1029
Mailing Address - Street 1:3900 VETERANS MEMORIAL HIGHWAY
Mailing Address - Street 2:SUITE 260
Mailing Address - City:BOHEMIA
Mailing Address - State:NY
Mailing Address - Zip Code:11716
Mailing Address - Country:US
Mailing Address - Phone:631-467-1029
Mailing Address - Fax:631-467-1136
Practice Address - Street 1:3900 VETERANS MEMORIAL HWY
Practice Address - Street 2:SUITE 260
Practice Address - City:BOHEMIA
Practice Address - State:NY
Practice Address - Zip Code:11716-1042
Practice Address - Country:US
Practice Address - Phone:631-467-1029
Practice Address - Fax:631-467-1136
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF400620-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty