Brookhaven Memorial Hospital Medical Center, Inc.

NPI #1487843090 in Patchogue, New York

Provider Information

NPI Number: 1487843090
Entity Type: Organization
Organization Name: Brookhaven Memorial Hospital Medical Center, Inc.
Subpart: Yes (part of a larger organization)
Parent Organization: BROOKHAVEN MEMORIAL HOSPITAL
Primary Specialty: Physician Assistant
Enumeration Date: Oct 19, 2007
Last Updated: Nov 6, 2020

Practice Location

Address: 101 HOSPITAL ROAD
City: Patchogue
State: New York
ZIP Code: 11772-4870
Phone: (631) 654-7755

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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