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Organization
GOOD SAMARITAN HOSPITAL
Active
Organization
GOOD SAMARITAN HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIRO LATI D.O (DR/RESIDENT)
(718) 375-6449
Entity
Organization
Contact information
Practice address
1000 MONTAUK HWY, WEST ISLIP, NY 11795-4927
(718) 375-6449
Mailing address
1000 MONTAUK HWY, WEST ISLIP, NY 11795-4927
(718) 374-6449
Taxonomy
Speciality
Code
Description
License number
State
281P00000X
Chronic Disease Hospital
Primary
AG3434901205
NY
Other
Enumeration date
07/17/2013
Last updated
07/17/2013
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