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1881434561
FORMATION HEALTH SERVICES LLC
DEER PARK, NY
NPI
1881434561
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Entity Type
Organization
Authorized Contact
MEESHA CHAN
Member
631-942-5429
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2024-05-29
Last Update Date
2024-05-29
Business Address
FORMATION HEALTH SERVICES LLC
8 DEFEO COURT
DEER PARK, NY 11729
Phone number: 631-942-5429
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Mailing Address
FORMATION HEALTH SERVICES LLC
8 DEFEO COURT
DEER PARK, NY 11729
Phone number: 631-942-5429
Copy
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