Organization
SUFFOLK PRIMARY HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATISYAHU SWERDLOFF (CEO)
(631) 208-4460
Entity
Organization
Contact information
Practice address
170 OLD COUNTRY RD, RIVERHEAD, NY 11901-2198
(631) 208-4460
(631) 208-4462
Mailing address
5308 13TH AVE STE 334, BROOKLYN, NY 11219-5198
(631) 208-4460
(631) 208-4462
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
5155205R
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5155205R
NYS DOH OPCERT
NY
01
—
6361
NYS FACILITY ID
NY
Enumeration date
07/24/2013
Last updated
10/24/2025
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