Organization
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
Active
Other names
Farmingville Mental Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HUMAYUN J CHAUDHRY D.O., M.S. (COMMISSIONER)
(631) 853-3000
Entity
Organization
Contact information
Practice address
15 HORSEBLOCK PL, FARMINGVILLE, NY 11738-1204
(631) 854-2552
(631) 854-2550
Mailing address
225 RABRO DR, HAUPPAUGE, NY 11788-4241
(631) 853-3000
(631) 853-2927
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
6919102A
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00354807
—
NY
Enumeration date
09/05/2006
Last updated
10/02/2007
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