Organization
SUFFOLK COUNTY DOHS JAIL MEDICAL UNIT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT GERACI D.O. (MEDICAL DIRECTOR)
(631) 852-1869
Entity
Organization
Contact information
Practice address
100 CENTER DR, RIVERHEAD, NY 11901-3307
(631) 852-1987
Mailing address
100 CENTER DR, RIVERHEAD, NY 11901-3307
(631) 852-1987
Taxonomy
Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
Primary
F3011351-1
NY
Other
Enumeration date
06/02/2010
Last updated
06/02/2010
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