Organization
UCPA OF SUFFOLK INC
Active
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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