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Organization
GOOD SAMARITAN HOSPITAL MEDICAL CENTER
Active
Organization
GOOD SAMARITAN HOSPITAL MEDICAL CENTER
Active
Parent organization
GOOD SAMARITAN HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
GOOD SAMARITAN HOSPITAL
Authorized official
MR. DAVID M HANNIGAN JR. (PHYSICIAN BILLING MGR)
(631) 465-6213
Entity
Organization
Contact information
Practice address
15 PARK AVE, BAY SHORE, NY 11706-7381
(631) 617-5250
Mailing address
15 PARK AVE, BAY SHORE, NY 11706-7381
(631) 617-5250
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
07/01/2011
Last updated
11/04/2019
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