| John T. Mather Memorial Hospital | |
|
75 N Country Rd Port Jefferson Station NY 11777-2119 | |
| (631) 473-1320 | |
| (631) 686-7972 |
| Full Name | John T. Mather Memorial Hospital |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 75 N Country Rd, Port Jefferson Station, New York |
| Authorized Official Name and Position | Joseph Wisnoski (VICE PRESIDENT FINANCE) |
| Authorized Official Contact | 6314731320 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John T. Mather Memorial Hospital Po Box 6435 Brattleboro VT 05302-6435 Ph: (631) 473-1320 | John T. Mather Memorial Hospital 75 N Country Rd Port Jefferson Station NY 11777-2119 Ph: (631) 473-1320 |
| NPI Number | 1376642371 |
|---|---|
| Provider Enumeration Date | 09/22/2006 |
| Last Update Date | 01/04/2023 |
| Certification Date | 01/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376642371 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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