Provider First Line Business Practice Location Address:
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
Provider Second Line Business Practice Location Address:
BLG 16 NORTH COUNTY COMPLEX DAY REPORTING CENTER
Provider Business Practice Location Address City Name:
HAUPPAUGE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11788
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
631-853-6281
Provider Business Practice Location Address Fax Number:
631-853-6254
Provider Enumeration Date:
05/22/2008