# SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578941068
- **Authorized official:** SUSAN BELL HODOSKY (DIRECTOR OF REVENUE)
- **Authorized official phone:** (631) 854-0182

## Contact information

- **Practice address:** 3500 SUNRISE HWY, GREAT RIVER, NY 11739-1001
- **Practice address phone:** (631) 854-0182
- **Practice address fax:** (631) 854-0198
- **Mailing address:** 3500 SUNRISE HWY, GREAT RIVER, NY 11739-1001
- **Mailing address phone:** (631) 854-0182
- **Mailing address fax:** (631) 854-0198

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | 5155200R | NY | Yes |

## Other

- **Enumeration date:** 05/15/2015
- **Last updated:** 05/15/2015