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Organization
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
Active
Organization
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
Active
Other names
Farmingville Mental Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HUMAYUN J CHAUDHRY D.O., M.S. (COMMISSIONER)
(631) 853-3000
Entity
Organization
Contact information
Practice address
15 HORSEBLOCK PL, FARMINGVILLE, NY 11738-1204
(631) 854-2552
(631) 854-2550
Mailing address
225 RABRO DR, HAUPPAUGE, NY 11788-4241
(631) 853-3000
(631) 853-2927
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
6919102A
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00354807
—
NY
Enumeration date
09/05/2006
Last updated
10/02/2007
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