NPI 1093092025
Esboces
Practice location
- Address
- 201 Sunrise Hwy, Patchogue, NY 11772-1868
- Phone
- (631) 289-2200
Authorised official
- Name
- Risa Locascio
- Title
- Nurse Supervisor
- Phone
- (631) 289-2200
Registered specialties (2)
Public Health or Welfare Agency
Primary
Community/Behavioral Health Agency
Registry record
- NPI
- 1093092025
- 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.