| Organization Name: | COUNTY OF SUFFOLK |
| NPI Number: | 1285750737 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DARLENE A WILSON (ADMINISTRATOR II) |
| Mailing Address: | 3500 Sunrise Hwy Ste 124 Pob 9006 Great River |
| State: | NY US |
| Postal Code: | 117391001 |
| Phone Number: | 6318540182 |
| Fax Number: | 6318540199 |
| NPI Enumeration Date: | 03/22/2007 |
| NPI Last Update Date: | 03/19/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | 5155200R |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |