Provider Demographics
NPI:1902962335
Name:FEDERATION OF ORGANIZATIONS
Entity Type:Organization
Organization Name:FEDERATION OF ORGANIZATIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED NURSE
Authorized Official - Prefix:MRS
Authorized Official - First Name:GLORIA
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:SOMMERSON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:631-669-5355
Mailing Address - Street 1:1 FARMINGDALE RD
Mailing Address - Street 2:
Mailing Address - City:WEST BABYLON
Mailing Address - State:NY
Mailing Address - Zip Code:11704-6545
Mailing Address - Country:US
Mailing Address - Phone:631-669-5355
Mailing Address - Fax:631-669-1517
Practice Address - Street 1:1 FARMINGDALE RD
Practice Address - Street 2:
Practice Address - City:WEST BABYLON
Practice Address - State:NY
Practice Address - Zip Code:11704-6545
Practice Address - Country:US
Practice Address - Phone:631-669-5355
Practice Address - Fax:631-669-1517
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-29
Last Update Date:2008-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY448024-1101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY448024-1OtherLICENSE