County Of Suffolk

Clinic / Center · Wyandanch, NY

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At a glance

1556 Straight Path, Wyandanch, NY 11798-3213

NPPES record updated Oct 17, 2012. Public records can lag behind changes at a practice.

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  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
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Insurance participation and appointment availability are not established by these public records.

Practice location

1556 Straight Path
Wyandanch, NY 11798-3213
Professional details: NPI, taxonomy & registry record
NPI1275637480
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Registry details

Primary taxonomy
Clinic / Center
Taxonomy code
261Q00000X
Enumeration date
Sep 8, 2006
Record updated
Oct 17, 2012
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Clinic / Center

261Q00000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

1556 Straight Path
Wyandanch, NY 11798-3213
Phone
(631) 854-1700
Fax
(631) 854-1783
Mailing address
3500 SUNRISE HWY, SUITE 124
P.O. BOX 9006
GREAT RIVER, NY 117399006
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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