Methadone Maintenance Clinic

LBN: County Of Suffolk
Methadone Maintenance Clinic is an health care organization with primary practice located at 200 Wireless Blvd , Hauppauge NY 11788-3974. The organization recently has only one registered license in Ambulatory Health Care Facilities / Methadone, which is considered as the primary health care specialty. County Of Suffolk can be contacted via phone (631) 853-7373, or through Pigott, Gregson via phone (631) 854-0100.

Contact Information

Primary practice address
200 Wireless Blvd Hauppauge NY 11788-3974
Phone: (631) 853-7373
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Pigott, Gregson
Phone: (631) 854-0100

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Methadone 261QM2800X 040710508 New York

Profile Details

NPI number 1669574547
LBN Legal business name County Of Suffolk
DBA Doing business as Methadone Maintenance Clinic
Authorized official Pigott, Gregson
Entity Organization
Organization subpart 1 No
Enumeration date Sep 2nd, 2006
Last updated Jul 10th, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669574547 NPPES
New York MEDICAID 03003665

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