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Organization
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
Active
Organization
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN BELL HODOSKY (DIRECTOR OF REVENUE)
(631) 854-0182
Entity
Organization
Contact information
Practice address
3500 SUNRISE HWY, GREAT RIVER, NY 11739-1001
(631) 854-0182
(631) 854-0198
Mailing address
3500 SUNRISE HWY, GREAT RIVER, NY 11739-1001
(631) 854-0182
(631) 854-0198
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
5155200R
NY
Other
Enumeration date
05/15/2015
Last updated
05/15/2015
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