Organization
SUN RIVER HEALTH INC
Active
Parent organization
SUN RIVER HEALTH INC
Other names
HRHCare Amityville
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUN RIVER HEALTH INC
Authorized official
ADAM LIPTON (VP INFO/PRACTICE MGMT SYSTEMS)
(914) 384-2375
Entity
Organization
Contact information
Practice address
1080 SUNRISE HWY, AMITYVILLE, NY 11701-2526
(631) 716-9026
(631) 450-9041
Mailing address
PO BOX 5036, WHITE PLAINS, NY 10602-5036
(914) 734-8800
(914) 734-8786
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
5901200R
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00473038
—
NY
Enumeration date
06/19/2014
Last updated
03/13/2022
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