Organization
SUFFOLK COUNTY DEPARTMENT OF HEALTH
Active
Parent organization
MENTAL HEALTH CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MENTAL HEALTH CLINIC
Authorized official
JAMES TOMARKEN MD (COMMISSIONER OF HEALTH)
(631) 854-0100
Entity
Organization
Contact information
Practice address
3500 SUNRISE HWY, GREAT RIVER, NY 11739-1001
(631) 854-0100
Mailing address
3500 SUNRISE HWY, PO BOX 9006, GREAT RIVER, NY 11739-1001
(631) 854-0100
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
212750
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00355019
—
NY
Enumeration date
03/14/2016
Last updated
03/14/2016
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