# LONG ISLAND COMMUNITY HOSPITAL AT NYU LANGONE HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Long Island Community Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053354100
- **Authorized official:** DR. MARC ADLER MD (SR VP - CHIEF OF OPERATIONS)
- **Authorized official phone:** (631) 654-7177

## Contact information

- **Practice address:** 101 HOSPITAL RD, PATCHOGUE, NY 11772-4870
- **Practice address phone:** (631) 654-7175
- **Practice address fax:** (631) 654-7664
- **Mailing address:** 101 HOSPITAL RD, PATCHOGUE, NY 11772-4870
- **Mailing address phone:** (631) 654-7175
- **Mailing address fax:** (631) 654-7664

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 06/14/2006
- **Last updated:** 06/30/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000086 | BLUE CROSS PROVIDER NO | NY |
| 05 | — | 00245529 | — | NY |