# COUNTY OF SUFFOLK

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Div of Services for Child w/ Spec Nds - EI
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679677884
- **Authorized official:** DR. JAMES L TOMARKEN MSW,MPH,MBA,FRCPC,FA (COMMISSIONER)
- **Authorized official phone:** (631) 854-0100

## Contact information

- **Practice address:** 50 LASER CT, HAUPPAUGE, NY 11788
- **Practice address phone:** (631) 853-2296
- **Mailing address:** P.O. BOX 9006, 3500 SUNRISE HWY, SUITE 124, GREAT RIVER, NY 11739-9006
- **Mailing address phone:** (631) 854-0000
- **Mailing address fax:** (631) 854-0108

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | — | NY | Yes |

## Other

- **Enumeration date:** 09/08/2006
- **Last updated:** 10/25/2012