| Suffolk County Department Of Health Services | |
| 
					3500 Sunrise Hwy Great River NY 11739-1001  | |
| (631) 854-0182 | |
| (631) 854-0198 | 
| Full Name | Suffolk County Department Of Health Services | 
|---|---|
| Speciality | Clinic/center - Community Health | 
| Location | 3500 Sunrise Hwy, Great River, New York | 
| Authorized Official Name and Position | Susan Bell Hodosky (DIRECTOR OF REVENUE) | 
| Authorized Official Contact | 6318540182 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Suffolk County Department Of Health Services 3500 Sunrise Hwy Great River NY 11739-1001 Ph: (631) 854-0182  | Suffolk County Department Of Health Services 3500 Sunrise Hwy Great River NY 11739-1001 Ph: (631) 854-0182  | 
| NPI Number | 1578941068 | 
|---|---|
| Provider Enumeration Date | 05/15/2015 | 
| Last Update Date | 05/15/2015 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1578941068 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | 5155200R (New York) | Primary |