Organization
COUNTY OF SUFFOLK
Active
Other names
Suffolk County Department of Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
DARLENE A WILSON (ADMINISTRATOR II)
(631) 854-0193
Entity
Organization
Contact information
Practice address
3500 SUNRISE HWY STE 124, POB 9006, GREAT RIVER, NY 11739-1001
(631) 854-0182
(631) 854-0199
Mailing address
3500 SUNRISE HWY STE 124, POB 9006, GREAT RIVER, NY 11739-1001
(631) 854-0182
(631) 854-0199
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
5155200R
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00473170
—
NY
Enumeration date
03/22/2007
Last updated
03/19/2013
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