SOUTH BROOKHAVEN HEALTH CENTER WEST - NPI 1801990015

Q: What is County Of Suffolk's NPI number?

The NPI number for County Of Suffolk is 1801990015. It was assigned to this organization in the NPPES registry on September 8, 2006. The provider is doing business as South Brookhaven Health Center West.

Q: What is County Of Suffolk's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Q: When was this NPI record last updated?

The NPPES record for County Of Suffolk was last updated on October 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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About South Brookhaven Health Center West NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH BROOKHAVEN HEALTH CENTER WEST (NPI 1801990015) is a healthcare organization registered as a clinic/center in Patchogue, New York and active in the NPI registry since September 2006. The organization lists James L Tomarken, Commissioner, as its authorized official.

NPPES Registry Identity

NPI1801990015

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameCOUNTY OF SUFFOLK

Location Address365 E MAIN STPatchogue, NY 11772-3145

Mailing AddressP.o. Box 9006, 3500 Sunrise Hwy, Suite 124Great River, NY 11739-9006 · (631) 854-0000 · Fax (631) 854-0108

Phone(631) 854-1200

Fax(631) 854-1310

Organization SubpartNo

Authorized OfficialJames L TomarkenCommissioner · (631) 854-0100

Enumeration DateSeptember 8, 2006

Last NPPES UpdateOctober 25, 2012

✔ NPI 1801990015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

365 E MAIN ST, Patchogue, NY 11772

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Other Names 1

Doing Business AsSouth Brookhaven Health Center West

Other Identifiers 2

Medicaid03003692NY

Medicare PINW02561NY

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BERNICE BOUZY

Nurse Practitioner (Women's Health)