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Suffolk Behavioral Medicine PC Mulch and Hugh, M.D. 535 Broad Hollow Road Suite # B12 Melville, NY 11747 Tel # 6315136262METHADONE TRANSFER CONSENT I authorize Mulch and Hugh, M.D. Patient Name (Print)practicing
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Suffolk Behavioral Medicine PC is a private medical practice that provides behavioral health services in the Suffolk County area.
The owners or operators of Suffolk Behavioral Medicine PC are required to file the necessary paperwork with the appropriate regulatory bodies.
To fill out Suffolk Behavioral Medicine PC paperwork, you will need to provide information about the practice, its owners, services provided, and financial information.
The purpose of Suffolk Behavioral Medicine PC is to offer behavioral health services to the community and promote mental wellness.
You must report information such as the practice's financials, services offered, ownership structure, and any relevant licenses or certifications.
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