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Organization
JOHN T. MATHER MEMORIAL HOSPITAL
Active
Organization
JOHN T. MATHER MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH WISNOSKI (VICE PRESIDENT FINANCE)
(631) 473-1320
Entity
Organization
Contact information
Practice address
75 N COUNTRY RD, PORT JEFFERSON, NY 11777-2119
(631) 473-1320
(631) 686-7972
Mailing address
625 BELLE TERRE RD, SUITE 100, PORT JEFFERSON, NY 11777-2316
(631) 473-1320
(631) 686-7972
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/06/2006
Last updated
04/29/2015
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