Organization
SOUTHSIDE HOSPITAL
Active
Other names
Central Islip Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS A. RIGGS RPAC (RPAC)
(631) 853-2710
Entity
Organization
Contact information
Practice address
45 W SUFFOLK AVE, CENTRAL ISLIP, NY 11722-2143
(631) 853-2710
Mailing address
7 FARMHOUSE DR, RIDGE, NY 11961-2169
(631) 205-9626
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
006564-1
NY
Other
Enumeration date
11/20/2006
Last updated
08/22/2020
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