Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Eating Disorder Treatment of New York, LLC

Organization Adolescent and Children Mental Health Clinic/Center · NPI 1699528950

Eating Disorder Treatment of New York, LLC is an Adolescent and Children Mental Health Clinic/Center in Northport, New York. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

254 Bread And Cheese Hollow Rd
Northport, NY 11768-2606
Phone: (631) 540-0980
Fax: (631) 967-1667
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adolescent and Children Mental Health Clinic/Center (primary) Taxonomy 261QM0855X

Record details

NPI number1699528950
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jason Schulz — Chief Financial Officer · (720) 440-4277
Other names Clementine North Shore; Clementine North Shore
NPI enumeratedApril 8, 2024
Last updated in NPPESJune 5, 2025
Certification dateJune 5, 2025
Mailing address6100 Sw 76th St, South Miami, FL 33143-5002