Central Islip Satellite Center

LBN: Suffolk County Dept Of Health Services
Central Islip Satellite Center is an health care organization with primary practice located at 45 W Suffolk Ave , Central Islip NY 11722-2143. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Suffolk County Dept Of Health Services can be contacted via phone (631) 853-2710, or through Tomarken, James L via phone (631) 854-0100.

Contact Information

Primary practice address
45 W Suffolk Ave Central Islip NY 11722-2143
Phone: (631) 853-2710
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tomarken, James L MD, MPH, MBA, MSW
Phone: (631) 854-0100

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1457455669
LBN Legal business name Suffolk County Dept Of Health Services
DBA Doing business as Central Islip Satellite Center
Authorized official Tomarken, James L MD, MPH, MBA, MSW
Entity Organization
Organization subpart 1 No
Enumeration date Sep 8th, 2006
Last updated Oct 25th, 2012 - about 12 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 1457455669 NPPES
New York MEDICAID 00473170

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