Brookhaven Memorial Hospital Medical Center

NPI #1114141298 in Patchogue, New York

Provider Information

NPI Number: 1114141298
Entity Type: Organization
Organization Name: Brookhaven Memorial Hospital Medical Center
Subpart: Yes (part of a larger organization)
Parent Organization: BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Apr 12, 2007
Last Updated: May 12, 2015

Practice Location

Address: 365 EAST MAIN STREET
City: Patchogue
State: New York
ZIP Code: 11772-3145
Phone: (631) 866-2030

Authorized Official

Name: BRENDA J FARRELL
Title: VICE PRESIDENT & CFO
Phone: (631) 654-7175

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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