Organization
SUFFOLK COUNTY DEPT OF HEALTH SERVICES
Active
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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