# GOOD SAMARITAN HOSPITAL MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Samaritan Pediatric Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447487988
- **Authorized official:** MR. DAVID M HANNIGAN (MANAGER PATIENT ACCOUNTS)
- **Authorized official phone:** (631) 465-6213

## Contact information

- **Practice address:** 1000 MONTAUK HWY, WEST ISLIP, NY 11795-4927
- **Practice address phone:** (631) 376-3000
- **Mailing address:** PO BOX 329, WEST ISLIP, NY 11795-0329
- **Mailing address phone:** (631) 465-6213

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 5154001H | NY | Yes |

## Other

- **Enumeration date:** 06/11/2009
- **Last updated:** 11/04/2019