Mary Immaculate Hospital

NPI #1245364223 in Stony Brook, New York

Provider Information

NPI Number
1245364223
Entity Type
Organization
Organization Name
Mary Immaculate Hospital
Primary Specialty
General Acute Care Hospital - Critical Access
Enumeration Date
Mar 14, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
24 NIGHT HERON DR
ZIP Code
11790-1108
Phone
(631) 689-5654

Authorized Official

Name
DR. USHA C RUDER, M.D.
Title
CHAIR, PATHOLOGY DEPARTMENT
Phone
(715) 558-2714

Specialties & Taxonomy Codes

Specialty
General Acute Care Hospital - Critical AccessCritical Access

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