Brookhaven Memorial Hospital | |
101 Hospital Rd Anticoagulation Services Patchogue NY 11772-4870 | |
(631) 687-4001 | |
(631) 687-4004 |
Full Name | Brookhaven Memorial Hospital |
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Speciality | Clinic/center |
Location | 101 Hospital Rd, Patchogue, New York |
Authorized Official Name and Position | Joan Marie Schanfeld (ADULT NURSE PRACTITIONER) |
Authorized Official Contact | 6316874001 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Brookhaven Memorial Hospital 101 Hospital Rd Anticoagulation Services Patchogue NY 11772-4870 Ph: (631) 687-4001 | Brookhaven Memorial Hospital 101 Hospital Rd Anticoagulation Services Patchogue NY 11772-4870 Ph: (631) 687-4001 |
NPI Number | 1598821019 |
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Provider Enumeration Date | 12/29/2006 |
Last Update Date | 07/12/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598821019 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 302767 (New York) | Primary |
Brookhaven Memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Hospital Rd, Patchogue, NY 11772 Phone: 631-687-4001 Fax: 631-687-4004 | |
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