# STATE OF NEW YORK COMPTROLLERS OFFICE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Long Island State Veterans Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659317741
- **Authorized official:** PAT D ROCCO (CFO)
- **Authorized official phone:** (631) 444-8646

## Contact information

- **Practice address:** 100 PATRIOTS RD, STONY BROOK, NY 11790-3318
- **Practice address phone:** (631) 444-8646
- **Mailing address:** 100 PATRIOTS RD, STONY BROOK, NY 11790-3318

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 021131 | NY | Yes |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 06/20/2006
- **Last updated:** 04/03/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 01312716 | — | NY |
| 05 | — | 01747093 | — | NY |
| 01 | — | 3331787 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |
| 05 | — | 5151310N | — | NY |