| John T. Mather Memorial Hospital | |
|
5505 Nesconset Hwy Mount Sinai NY 11766-2037 | |
| (631) 686-7689 | |
| Not Available |
| Full Name | John T. Mather Memorial Hospital |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 5505 Nesconset Hwy, Mount Sinai, New York |
| Authorized Official Name and Position | Joseph Wisnoski (CFO) |
| Authorized Official Contact | 6314731320 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John T. Mather Memorial Hospital 625 Belle Terre Rd Suite 100 Port Jefferson NY 11777-2316 Ph: (631) 686-7689 | John T. Mather Memorial Hospital 5505 Nesconset Hwy Mount Sinai NY 11766-2037 Ph: (631) 686-7689 |
| NPI Number | 1568774453 |
|---|---|
| Provider Enumeration Date | 07/08/2010 |
| Last Update Date | 12/15/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568774453 | NPI | - | NPPES |
| 03246297 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Dragonfly Lcsw, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 51 Osborne Ave, Mount Sinai, NY 11766 Phone: 631-642-3351 Fax: 631-642-3351 |