Brookhaven Memorial Hospital Medical Center

NPI #1184041899 in Bellport, New York

Provider Information

NPI Number: 1184041899
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: Family Medicine
Enumeration Date: Mar 20, 2014
Last Updated: Aug 22, 2014

Practice Location

Address: 515 BELLPORT AVE
City: Bellport
State: New York
ZIP Code: 11713-1711
Phone: (631) 227-6600

Authorized Official

Name: MRS. BRENDA J FARRELL
Title: CHIEF FINANCIAL OFFICERE
Phone: (631) 654-7175

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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