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
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None 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
- Sun River Health IncFederally Qualified Health Center (FQHC) Wyandanch, NY NPI 1952718181
- Arthur Calica Liclican, MDInternal Medicine Physician Wyandanch, NY NPI 1255435665
- Carly Gennaro, D.OFamily Medicine Physician Wyandanch, NY NPI 1396195343
- Donna Moodie, RD CDERegistered Dietitian Wyandanch, NY NPI 1568568236
- Emilio P. Quines Jr., MDFamily Medicine Physician Wyandanch, NY NPI 1639267776
- Kris Thomas Varughese, RNRegistered Nurse Wyandanch, NY NPI 1093598252
- Maria Roman-KasmierczakSocial Worker Wyandanch, NY NPI 1154705531
- Marie O'Donnell, LCSWClinical Social Worker Wyandanch, NY NPI 1265955850
- Rajesh Savargaonkar, MDPediatrics Physician Wyandanch, NY NPI 1346344710
Other clinic/center providers in Wyandanch
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.