Organization
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN BELL HODOSKY (DIRECTOR OF REVENUE)
(631) 854-0182
Entity
Organization
Contact information
Practice address
3500 SUNRISE HWY, GREAT RIVER, NY 11739-1001
(631) 854-0182
(631) 854-0198
Mailing address
3500 SUNRISE HWY, GREAT RIVER, NY 11739-1001
(631) 854-0182
(631) 854-0198
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
5155200R
NY
Other
Enumeration date
05/15/2015
Last updated
05/15/2015
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