SANCTUARY EAST LTD.
Ambulatory Health at William Ave, East Islip, NY

License number
New York 070210970
Category
Ambulatory Health
Type
Rehabilitation, Substance Use Disorder
Owner
Name: LORENZO RODRIGUEZ A.A., CASAC
Title: DIRECTOR
Phone: (631) 224-7700
Address
Address
2 William Ave, East Islip, NY 11730
National Provider ID: 1972560167
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SANCTUARY EAST MERGER CORP

2 William Ave, East Islip, NY 11730

Industry:
Specialty Outpatient Clinic
Doing business as:
Sanctuary East Ltd<br>Sanctuaries East
Registration:
Nov 23, 2009
Phone:
(631) 224-7700 (Phone)
State ID:
3881601
Business type:
DOMESTIC BUSINESS CORPORATION
President, Directors:
Lorenzo Rodriguez (Director), 2 William Ave, East Islip, NY 11730 (Physical),Gerry Gallagher (President, Director)
Agent:
Sanctuary East Ltd,2 William Ave, East Islip, NY 11730 (Physical)

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