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Organization
BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER
Active
Organization
BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER
Active
Parent organization
BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER
Other names
Brookhaven Memorial Hospital Health Center West
Organization subpart
Yes
Provider details
NPI number
Legal business name
BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER
Authorized official
BRENDA J FARRELL (VICE PRESIDENT & CFO)
(631) 654-7175
Entity
Organization
Contact information
Practice address
365 EAST MAIN STREET, PATCHOGUE, NY 11772-3145
(631) 866-2030
(631) 687-1830
Mailing address
101 HOSPITAL ROAD, PATCHOGUE, NY 11772-4870
(631) 654-7100
(516) 333-1075
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00245529
—
NY
Enumeration date
04/12/2007
Last updated
05/12/2015
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