# SUFFOLK COUNTY DEPARTMENT OF HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902993272
- **Authorized official:** SUSAN BOURBIIN (PSYCHIATRIC SOCIAL WORKER)
- **Authorized official phone:** (631) 854-2571

## Contact information

- **Practice address:** 15 HORSEBLOCK PL, FARMINGVILLE, NY 11738-1204
- **Practice address phone:** (631) 543-3659
- **Mailing address:** 95 TULIPWOOD DR, COMMACK, NY 11725-5625

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | R0497521 | NY | Yes |

## Other

- **Enumeration date:** 10/06/2006
- **Last updated:** 08/22/2020