OrganizationActive
County of Suffolk
NPI 1669574547 · Methadone Clinic · Hauppauge, NY
Provider details
- NPI number
- 1669574547
- Entity type
- Organization
- Primary specialty
- Methadone ClinicAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Gregson Pigott, Commissioner(631) 854-0100
- License
- 040710508 (NY)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
200 Wireless Blvd
Hauppauge, NY 11788-3974
Phone: (631) 853-7373
Approximate (ZIP-level) locationGet directions
Mailing address
3500 Sunrise Hwy
Great River, NY 11739-1001
Other names (DBA / former)
- Other name
- Methadone Maintenance Clinic
- Other name
- Methadone Maintenance Clinic
Registry dates
- Enumerated
- 2006-09-02
- Last updated
- 2020-07-10
- Certified
- 2020-07-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.