Organization
EASTERN SUFFOLK BOCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID RUSSO R.N (SCHOOL NURSE)
(631) 422-1570
Entity
Organization
Contact information
Practice address
201 SUNRISE HWY, PATCHOGUE, NY 11772-1868
(631) 289-2200
Mailing address
201 SUNRISE HWY, PATCHOGUE, NY 11772-1868
(631) 289-2200
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
11/04/2011
Last updated
11/04/2011
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