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Organization
ST. CHARLES HOSPITAL SHORT TERM REHAB
Active
Organization
ST. CHARLES HOSPITAL SHORT TERM REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM ALLISON (CHIEF FINANCIAL OFFICER)
(631) 376-4003
Entity
Organization
Contact information
Practice address
200 BELLE TERRE RD, PORT JEFFERSON, NY 11777-1928
(631) 474-6000
Mailing address
200 BELLE TERRE RD, PORT JEFFERSON, NY 11777-1928
(631) 474-6000
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
11/20/2009
Last updated
08/18/2010
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