Suffolk County Department Of Health | |
3500 Sunrise Hwy Great River NY 11739-1001 | |
(631) 854-0100 | |
Not Available |
Full Name | Suffolk County Department Of Health |
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Speciality | Clinic/center - Adult Mental Health |
Location | 3500 Sunrise Hwy, Great River, New York |
Authorized Official Name and Position | James Tomarken (COMMISSIONER OF HEALTH) |
Authorized Official Contact | 6318540100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Suffolk County Department Of Health 3500 Sunrise Hwy Po Box 9006 Great River NY 11739-1001 Ph: (631) 854-0100 | Suffolk County Department Of Health 3500 Sunrise Hwy Great River NY 11739-1001 Ph: (631) 854-0100 |
NPI Number | 1639530082 |
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Provider Enumeration Date | 03/14/2016 |
Last Update Date | 03/14/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639530082 | NPI | - | NPPES |
00355019 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | 212750 (New York) | Primary |