SUFFOLK COUNTY DEPARTMENT OF HEALTH NPI 1639530082

NPI Information

NPI: 1639530082
Provider Name: SUFFOLK COUNTY DEPARTMENT OF HEALTH
Classification: Clinic/Center - 261QM0850X
Specialization: Adult Mental Health
Entity Type: Organization
Address: 3500 SUNRISE HWY
GREAT RIVER, NY
ZIP 11739
Phone: (631) 854-0100

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NPI Details

SUFFOLK COUNTY DEPARTMENT OF HEALTH is an adult mental health clinic center in Great River, NY. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. SUFFOLK COUNTY DEPARTMENT OF HEALTH NPI is 1639530082. The provider is registered as an organization entity type.

The provider's business location address is:

3500 SUNRISE HWY
GREAT RIVER, NY
ZIP 11739-001
Phone: (631) 854-0100

The provider's authorized official is James Tomarken .
The authorized official title is Commissioner Of Health and has the following contact phone number (631) 854-0100.

The enumeration date for this NPI number is 3/14/2016 and was last updated on 3/14/2016.

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	261QM0850X	Clinic/Center	Adult Mental Health	212750	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00355019	MEDICAID	NEW YORK

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: 3/30/2025

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