OrganizationActive
Awixa Home of Li, Inc
NPI 1154789683 · Preferred Provider Organization · Bay Shore, NY
Provider details
- NPI number
- 1154789683
- Entity type
- Organization
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Authorized official
- Alyse Cardello, Ceo
Practice location
199 Benton Pl
Bay Shore, NY 11706-1507
Phone: (516) 882-9492
Fax: (516) 882-9494
Mailing address
301 Clearview Ln
Massapequa, NY 11758-8505
Registry dates
- Enumerated
- 2016-01-28
- Last updated
- 2016-01-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.