Organization
COUNTY OF SUFFOLK
Active
Other names
Div of Services for Child w/Spec nds EI-SC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES L TOMARKEN MSW,MPH,MBA,FRCPC,FA (COMMISSIONER)
(631) 854-0100
Entity
Organization
Contact information
Practice address
50 LASER CT, HAUPPAUGE, NY 11788-3958
(631) 853-2332
(631) 853-3031
Mailing address
P.O. BOX 9006, 3500 SUNRISE HWY, SUITE 124, GREAT RIVER, NY 11739-9006
(631) 854-0000
(631) 854-0108
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00321875
—
NY
Enumeration date
09/04/2008
Last updated
11/02/2012
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