Dept. of Health

NPI #1659491975 in Hauppauge, New York

Provider Information

NPI Number
1659491975
Entity Type
Organization
Organization Name
Dept. of Health
Primary Specialty
Clinic/Center - Methadone
Enumeration Date
Mar 30, 2007
Last Updated
Aug 8, 2008

Practice Location

Address
200 WIRELESS BLVD
ZIP Code
11788-3933
Phone
(631) 853-7373

Authorized Official

Name
MR. KENNETH PATRICK MARTONE
Title
REGISTERED NURSE
Phone
(631) 853-7373

Specialties & Taxonomy Codes

Specialty
Clinic/Center - MethadoneMethadone

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