Organization
SUFFOLK COUNTY DEPT OF HEALTH SERVICES
Active
Other names
MENTAL HLTH - PILGRIM - ICM
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN L HARPER M.D.,M.P.D. (COMMISSIONER)
(631) 853-3000
Entity
Organization
Contact information
Practice address
998 CROOKED HILL RD, PILGRIM ST PSYCH CTR, BRENTWOOD, NY 11717-1043
(631) 761-4154
Mailing address
225 RABRO DR, HAUPPAUGE, NY 11788-4241
(631) 853-3000
(631) 853-2927
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01175277
—
NY
Enumeration date
09/01/2006
Last updated
08/22/2020
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