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Organization

SUFFOLK COUNTY DEPT OF HEALTH SERVICES

Active
Other names
CENTRAL ISLIP SATELLITE CENTER
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAMES L TOMARKEN MD, MPH, MBA, MSW (COMMISSIONER)
(631) 854-0100
Entity
Organization

Contact information

Practice address
45 W SUFFOLK AVE, CENTRAL ISLIP, NY 11722-2143
(631) 853-2710
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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