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Organization
GOOD SAMARITAN HOSPITAL MEDICAL CENTER
Active
Organization
GOOD SAMARITAN HOSPITAL MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORRAINE HUMMEL (SYSTEM DIRECTOR)
(631) 465-6001
Entity
Organization
Contact information
Practice address
1000 MONTAUK HWY, WEST ISLIP, NY 11795-4927
(631) 376-4027
Mailing address
PO BOX 6010, HAUPPAUGE, NY 11788-9010
(631) 232-4000
(631) 851-9225
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/15/2006
Last updated
11/04/2019
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