Organization
UCPA OF SUFFOLK INC
Active
Other names
UCP Suffolk Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANINE KLEIN (CHIEF FINANCIAL OFFICER UCPA)
(631) 232-0011
Entity
Organization
Contact information
Practice address
159 CARLETON AVE, CENTRAL ISLIP, NY 11722-4172
(631) 439-4314
(631) 439-4319
Mailing address
250 MARCUS BLVD, HAUPPAUGE, NY 11788-2018
(631) 439-4314
(631) 439-4319
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
5157203R
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00354921
—
NY
Enumeration date
10/11/2006
Last updated
01/13/2012
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