Provider Demographics
NPI:1538381124
Name:EATING DISORDER ASSOCIATES
Entity type:Organization
Organization Name:EATING DISORDER ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:MANA
Authorized Official - Last Name:MAGINN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:631-724-7152
Mailing Address - Street 1:111 SMITHTOWN BYPASS
Mailing Address - Street 2:SUITE 115
Mailing Address - City:HAUPPAUGE
Mailing Address - State:NY
Mailing Address - Zip Code:11788
Mailing Address - Country:US
Mailing Address - Phone:631-724-7152
Mailing Address - Fax:631-724-7193
Practice Address - Street 1:111 SMITHTOWN BYPASS
Practice Address - Street 2:SUITE 115
Practice Address - City:HAUPPAUGE
Practice Address - State:NY
Practice Address - Zip Code:11788
Practice Address - Country:US
Practice Address - Phone:631-724-7152
Practice Address - Fax:631-724-7193
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty