Organization
SUFFOLK COUNTY DEPT OF HEALTH SERVICES
Active
Other names
Riverhead Mental Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES L TOMARKEN (COMMISSIONER)
(631) 854-0100
Entity
Organization
Contact information
Practice address
300 CENTER DR, RIVERHEAD, NY 11901-3393
(631) 852-1440
(631) 852-1448
Mailing address
3500 SUNRISE HWY, SUITE 124, PO BOX 9006, GREAT RIVER, NY 11739-1001
(631) 854-0196
(631) 854-0198
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
6919109A
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00688179
—
NY
Enumeration date
09/08/2006
Last updated
10/22/2012
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