Organization · NPI-2

State Of New York Comptrollers Office

Pharmacy · Stony Brook, NY

NPI number1659317741
StatusActive
Last updated in NPPESApr 3, 2018

Details

NPI
1659317741
Entity type
Organization (NPI-2)
Legal business name
State Of New York Comptrollers Office
Organization subpart
No
Enumeration date
Jun 20, 2006
Last updated
Apr 3, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
333600000X Pharmacy021131NYYes
3336L0003X Pharmacy, Long Term Care Pharmacy––

Other names

  • Long Island State Veterans Home (Doing Business As)

Practice location

100 Patriots Rd
Stony Brook, NY 11790-3318

Phone 631-444-8646

Mailing address

100 Patriots Rd
Stony Brook, NY 11790-3318

Authorized official

Pat D Rocco
Cfo
6314448646

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