Brookhaven Memorial Hospital Medical Center, Inc.

NPI #1306350715 in Patchogue, New York

Provider Information

NPI Number: 1306350715
Entity Type: Organization
Organization Name: Brookhaven Memorial Hospital Medical Center, Inc.
Subpart: Yes (part of a larger organization)
Parent Organization: BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER, INC.
Primary Specialty: Health Educator
Enumeration Date: Nov 21, 2017
Last Updated: Feb 6, 2020

Practice Location

Address: 103 W MAIN ST
City: Patchogue
State: New York
ZIP Code: 11772-3003
Phone: (631) 687-4188

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Health Educator	174H00000X	Primary

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