SUFFOLK COUNTY DEPT OF HEALTH SERVICES NPI 1831265677

NPI Information

NPI: 1831265677
Provider Name: SUFFOLK COUNTY DEPT OF HEALTH SERVICES

Other Name: BOCES - SCHOOL BASED PROGRAM

Classification: Clinic/Center - 261QS1000X
Entity Type: Organization

Specialization: Student Health

Address:
350 MARTHA AVENUE
BELLPORT, NY
ZIP 11713
Phone: (631) 854-1200
Get Directions

SUFFOLK COUNTY DEPT OF HEALTH SERVICES is a student health clinic center in Bellport, NY. SUFFOLK COUNTY DEPT OF HEALTH SERVICES NPI is 1831265677. The provider is registered as an organization entity type.
The provider Other Name Is Boces - School Based Program.

The provider's business location address is:

350 MARTHA AVENUE
BELLPORT, NY
ZIP 11713
Phone: (631) 854-1200

The provider's authorized official is David Graham .
The authorized official title is Acting Commissioner and has the following contact phone number (631) 853-3000.

The enumeration date for this NPI number is 11/24/2006 and was last updated on 8/22/2020.

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	261QS1000X	Clinic/Center	Student Health	5155200R	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	00473170	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: 5/5/2024

NPI Synchronization or Removal

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