| Organization Name: | SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES |
| NPI Number: | 1578941068 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SUSAN BELL HODOSKY (DIRECTOR OF REVENUE) |
| Mailing Address: | 3500 Sunrise Hwy Great River |
| State: | NY US |
| Postal Code: | 117391001 |
| Phone Number: | 6318540182 |
| Fax Number: | 6318540198 |
| NPI Enumeration Date: | 05/15/2015 |
| NPI Last Update Date: | 05/15/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QC1500X |
| License Number: | 5155200R |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |