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Organization
STATE OF NEW YORK COMPTROLLERS OFFICE
Active
Organization
STATE OF NEW YORK COMPTROLLERS OFFICE
Active
Other names
Long Island State Veterans Home
Organization subpart
No
Provider details
NPI number
Authorized official
PAT D ROCCO (CFO)
(631) 444-8646
Entity
Organization
Contact information
Practice address
100 PATRIOTS RD, STONY BROOK, NY 11790-3318
(631) 444-8646
Mailing address
100 PATRIOTS RD, STONY BROOK, NY 11790-3318
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
021131
NY
3336L0003X
Long Term Care Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01312716
—
NY
05
—
01747093
—
NY
01
—
3331787
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
5151310N
—
NY
Enumeration date
06/20/2006
Last updated
04/03/2018
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