OrganizationActive
Fairy Licemothers, LLC
NPI 1235653437 · Public Health or Welfare Agency · Oceanside, NY
Provider details
- NPI number
- 1235653437
- Entity type
- Organization
- Primary specialty
- Public Health or Welfare AgencyAgencies
- Organization subpart
- No
- Authorized official
- Carol Gilbert, President(516) 313-8095
Specialties & taxonomies
Agencies
Practice location
2463 Long Beach Rd
Oceanside, NY 11572-1362
Phone: (866) 561-0492
Approximate (ZIP-level) locationGet directions
Mailing address
2463 Long Beach Rd
Oceanside, NY 11572-1362
Additional practice locations (3)
- 1755 Deer Park AveDeer Park, NY 11729-5207Phone: (866) 561-0492
- 679 Glen Cove AveGlen Head, NY 11545-1602Phone: (866) 561-0492
- 6507 Jester Blvd Ste 505aAustin, TX 78750-8354Phone: (866) 561-0492
Registry dates
- Enumerated
- 2017-07-29
- Last updated
- 2018-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.