Organization · Type 2 NPI

County of Suffolk

Clinic/Center · Wyandanch, NY

NPI number 1275637480 Active

Practice location

1556 Straight Path
Wyandanch, NY 11798-3213

Fax (631) 854-1783

Mailing address

3500 Sunrise Hwy, Suite 124, P.o. Box 9006
Great River, NY 11739-9006

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

9 other providers at this address

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About NPI 1275637480

County of Suffolk's National Provider Identifier is 1275637480, issued on Sep 8, 2006. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Wyandanch, NY. The record was last updated on Oct 17, 2012.