County of Suffolk

NPI #1710081922 in Shirley, New York

Provider Information

NPI Number: 1710081922
Entity Type: Organization
Organization Name: County of Suffolk
Primary Specialty: Clinic/Center
Enumeration Date: Sep 8, 2006
Last Updated: Oct 25, 2012

Practice Location

Address: 550 MONTAUK HWY
City: Shirley
State: New York
ZIP Code: 11967-2114
Phone: (631) 852-1000

Authorized Official

Name: MR. JAMES L TOMARKEN, MSW,MPH,MBA,FRCPC,FA
Title: COMMISSIONER
Phone: (631) 854-0100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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