| NPI | 1659491975 |
|---|---|
| Other Name | SUFFOLK COUNTY |
| Entity Type | Organization |
| Authorized Contact | KENNETH PATRICK MARTONE Registered Nurse 631-853-7373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: NY 376106-1) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2008-08-08 |