Organization
STATE OF NEW YORK COMPTROLLERS OFFICE
Active
Other names
Long Island State Veterans Home
Organization subpart
No
Provider details
NPI number
Authorized official
PAT D ROCCO (CFO)
(631) 444-8646
Entity
Organization
Contact information
Practice address
100 PATRIOTS RD, STONY BROOK, NY 11790-3318
(631) 444-8646
Mailing address
100 PATRIOTS RD, STONY BROOK, NY 11790-3318
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
021131
NY
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01312716
—
NY
05
—
01747093
—
NY
01
—
3331787
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
5151310N
—
NY
Enumeration date
06/20/2006
Last updated
04/03/2018
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