| Brookhaven Memorial Hosp Psych | |
|
101 Hospital Rd Patchogue NY 11772-4870 | |
| (631) 447-3076 | |
| Not Available |
| Full Name | Brookhaven Memorial Hosp Psych |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 101 Hospital Rd, Patchogue, New York |
| Authorized Official Name and Position | Ron Giraulo (VP) |
| Authorized Official Contact | 6316547176 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brookhaven Memorial Hosp Psych Po Box 6010 Hauppauge NY 11788-9010 Ph: (631) 840-5347 | Brookhaven Memorial Hosp Psych 101 Hospital Rd Patchogue NY 11772-4870 Ph: (631) 447-3076 |
| NPI Number | 1073795209 |
|---|---|
| Provider Enumeration Date | 11/29/2007 |
| Last Update Date | 11/29/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073795209 | NPI | - | NPPES |
| 02244824 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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