Brookhaven Family Medicine

NPI #1144665340 in Patchogue, New York

Provider Information

NPI Number: 1144665340
Entity Type: Organization
Organization Name: Brookhaven Family Medicine
Subpart: Yes (part of a larger organization)
Parent Organization: BROOKHAVEN FAMILY MEDICINE
Primary Specialty: Clinic/Center
Enumeration Date: May 2, 2013
Last Updated: May 2, 2013

Practice Location

Address: 100 HOSPITAL ROAD
City: Patchogue
State: New York
ZIP Code: 11772
Phone: (631) 687-6900

Authorized Official

Name: MRS. LINDA ELLEN MILLEISEN, LCSW-R
Title: PSYCHOTHERAPIST
Phone: (631) 447-3036

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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