John T. Mather Memorial Hospital

NPI #1104913748 in Port Jefferson, New York

Provider Information

NPI Number: 1104913748
Entity Type: Organization
Organization Name: John T. Mather Memorial Hospital
Primary Specialty: Emergency Medicine
Enumeration Date: Oct 6, 2006
Last Updated: May 19, 2015

Practice Location

Address: 75 N COUNTRY RD
City: Port Jefferson
State: New York
ZIP Code: 11777-2119
Phone: (631) 473-1320

Authorized Official

Name: MRS. SHARON DONNELLY
Title: DIRECTOR
Phone: (631) 686-7603

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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