| Brookhaven Memorial Hospital Medical Center, Inc. | |
|
101 Hospital Road Patchogue NY 11772-4870 | |
| (631) 654-7760 | |
| (631) 447-3044 |
| Full Name | Brookhaven Memorial Hospital Medical Center, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 101 Hospital Road, Patchogue, New York |
| Authorized Official Name and Position | Brenda J Farrell (VICE PRESIDENT & CFO) |
| Authorized Official Contact | 6316547175 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brookhaven Memorial Hospital Medical Center, Inc. 101 Hospital Road Patchogue NY 11772-4870 Ph: (631) 654-7100 | Brookhaven Memorial Hospital Medical Center, Inc. 101 Hospital Road Patchogue NY 11772-4870 Ph: (631) 654-7760 |
| NPI Number | 1346429115 |
|---|---|
| Provider Enumeration Date | 10/30/2007 |
| Last Update Date | 06/02/2022 |
| Certification Date | 06/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346429115 | NPI | - | NPPES |
| 02244824 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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