# SUFFOLK COUNTY DEPT OF HEALTH SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BOCES - School Based Program
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831265677
- **Authorized official:** DR. DAVID GRAHAM M.D., M.P.H. (ACTING COMMISSIONER)
- **Authorized official phone:** (631) 853-3000

## Contact information

- **Practice address:** 350 MARTHA AVENUE, BELLPORT, NY 11713
- **Practice address phone:** (631) 854-1200
- **Mailing address:** 225 RABRO DR EAST, HAUPPAUGE, NY 11788
- **Mailing address phone:** (631) 853-4026
- **Mailing address fax:** (631) 853-2922

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QS1000X | Student Health Clinic/Center | 5155200R | NY | Yes |

## Other

- **Enumeration date:** 11/24/2006
- **Last updated:** 08/22/2020