SUFFOLK COUNTY DOHS JAIL MEDICAL UNIT NPI 1598085508

NPI Information

NPI: 1598085508
Provider Name: SUFFOLK COUNTY DOHS JAIL MEDICAL UNIT
Classification: Clinic/Center - 261QP0905X
Entity Type: Organization

Specialization: Public Health, State or Local

CLIA Number: 33D0954126

Address:
100 CENTER DR
RIVERHEAD, NY
ZIP 11901
Phone: (631) 852-1987
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SUFFOLK COUNTY DOHS JAIL MEDICAL UNIT is a public health and state or local clinic center in Riverhead, NY. SUFFOLK COUNTY DOHS JAIL MEDICAL UNIT NPI is 1598085508. The provider is registered as an organization entity type.

The provider's business location address is:

100 CENTER DR
RIVERHEAD, NY
ZIP 11901-307
Phone: (631) 852-1987

The provider's authorized official is Vincent Geraci .
The authorized official title is Medical Director and has the following contact phone number (631) 852-1869.

The CLIA number assigned to this NPI record is 33D0954126 - prison with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/2/2010 and was last updated on 6/2/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP0905X	Clinic/Center	Public Health, State or Local	F3011351-1	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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