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Organization

COUNTY OF SUFFOLK

Active
Other names
Bureau of Public Health Nursing - CHHA
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAMES L TOMARKEN MSW,MPH,MBA,FRCPC,FA (COMMISSIONER)
(631) 854-0100
Entity
Organization

Contact information

Practice address
3500 SUNRISE HWY STE 124, GREAT RIVER, NY 11739-1001
(631) 854-0000
(631) 854-0108
Mailing address
3500 SUNRISE HWY, SUITE 124, P.O. BOX 9006, GREAT RIVER, NY 11739-9006
(631) 854-0000
(631) 854-0108

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
5155600
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00321875
NY
Enumeration date
08/15/2006
Last updated
11/07/2012
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