# GOOD SAMARITAN HOSPITAL MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GOOD SAMARITAN HOSPITAL
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1275820961
- **Legal business name:** GOOD SAMARITAN HOSPITAL
- **Authorized official:** MR. DAVID M HANNIGAN JR. (PHYSICIAN BILLING MGR)
- **Authorized official phone:** (631) 465-6213

## Contact information

- **Practice address:** 15 PARK AVE, BAY SHORE, NY 11706-7381
- **Practice address phone:** (631) 617-5250
- **Mailing address:** 15 PARK AVE, BAY SHORE, NY 11706-7381
- **Mailing address phone:** (631) 617-5250

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/01/2011
- **Last updated:** 11/04/2019