| Brookhaven Memorial Hospital | |
|
101 Hospital Rd Patchogue NY 11772-4870 | |
| (631) 687-4001 | |
| (631) 687-4004 |
| Full Name | Brookhaven Memorial Hospital |
|---|---|
| Speciality | Clinic/center |
| Location | 101 Hospital Rd, Patchogue, New York |
| Authorized Official Name and Position | Anthony Shallash (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 6316547481 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brookhaven Memorial Hospital 101 Hospital Rd Patchogue NY 11772-4870 Ph: (631) 687-4001 | Brookhaven Memorial Hospital 101 Hospital Rd Patchogue NY 11772-4870 Ph: (631) 687-4001 |
| NPI Number | 1043369721 |
|---|---|
| Provider Enumeration Date | 01/10/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043369721 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | F300787 (New York) | Primary |
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