| Suffolk County Department Of Health | |
|
3500 Sunrise Hwy Great River NY 11739-1001 | |
| (631) 854-0100 | |
| Not Available |
| Full Name | Suffolk County Department Of Health |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 3500 Sunrise Hwy, Great River, New York |
| Authorized Official Name and Position | James Tomarken (COMMISSIONER OF HEALTH) |
| Authorized Official Contact | 6318540100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Suffolk County Department Of Health 3500 Sunrise Hwy Po Box 9006 Great River NY 11739-1001 Ph: (631) 854-0100 | Suffolk County Department Of Health 3500 Sunrise Hwy Great River NY 11739-1001 Ph: (631) 854-0100 |
| NPI Number | 1639530082 |
|---|---|
| Provider Enumeration Date | 03/14/2016 |
| Last Update Date | 03/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639530082 | NPI | - | NPPES |
| 00355019 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 212750 (New York) | Primary |