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Organization
BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER, INC.
Active
Organization
BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER, INC.
Active
Other names
Long Island Community Hospital, Diabetes Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA J FARRELL (VICE PRESIDENT & CFO)
(631) 654-7175
Entity
Organization
Contact information
Practice address
33 MEDFORD AVENUE, SUITE D, PATCHOGUE, NY 11772-1222
(631) 687-4190
(631) 687-4199
Mailing address
101 HOSPITAL ROAD, PATCHOGUE, NY 11772-4870
(631) 654-7100
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
01/09/2009
Last updated
06/02/2022
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