NPI 1073890091

Eastern Suffolk Boces

Organisation Public Health or Welfare Agency Patchogue, NY

Practice location

Address: 201 Sunrise Hwy, Patchogue, NY 11772-1868
Phone: (631) 289-2200

Authorised official

Name: David Russo
Title: School Nurse
Phone: (631) 422-1570

Registered specialties (2)

Public Health or Welfare Agency Primary

Agencies Taxonomy 251K00000X

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Nursing Care Agency

Agencies Taxonomy 251J00000X

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Registry record

NPI: 1073890091
Entity type: Organization
NPI issued: 4 Nov 2011
Record last updated: 4 Nov 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.