OrganizationActive
Brookville Center for Childrens Services Inc
NPI 1003053885 · Mental Illness Intermediate Care Facility · Lido Beach, NY
Provider details
- NPI number
- 1003053885
- Entity type
- Organization
- Primary specialty
- Mental Illness Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Willard Derr, Chief Financial Officer(516) 626-1075
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
28 Seaspray Dr
Lido Beach, NY 11561-5232
Phone: (516) 626-1075
Fax: (516) 626-3308
Approximate (ZIP-level) locationGet directions
Mailing address
189 Wheatley Rd
Glen Head, NY 11545-2641
Registry dates
- Enumerated
- 2009-01-15
- Last updated
- 2009-01-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.