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Organization

COUNTY OF SUFFOLK

Active
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Organization

COUNTY OF SUFFOLK

Active
Other names
TRI-COMMUNITY-MAXINE S POSTAL HEALTH CENTER
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAMES L TOMARKEN MSW,MPH,MBA,FRCPC,FA (COMMISSIONER)
(631) 854-1000
Entity
Organization

Contact information

Practice address
1080 SUNRISE HWY, AMITYVILLE, NY 11701-2526
(631) 854-1000
(631) 854-1031
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
261Q00000X
Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00473170
NY
Enumeration date
09/08/2006
Last updated
10/25/2012
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