| Organization Name: | SUFFOLK COUNTY DEPT OF HEALTH SERVICES |
| NPI Number: | 1104920313 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAMES L TOMARKEN (COMMISSIONER) |
| Mailing Address: | 300 Center Dr Riverhead |
| State: | NY US |
| Postal Code: | 119013393 |
| Phone Number: | 6318521440 |
| Fax Number: | 6318521448 |
| NPI Enumeration Date: | 09/08/2006 |
| NPI Last Update Date: | 10/22/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | 6919109A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |