# JOHN T. MATHER MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PORT JEFF MRI
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568590115
- **Authorized official:** MR. FRANK T. LETTERA (VP-FINANCE)
- **Authorized official phone:** (631) 476-2753

## Contact information

- **Practice address:** 120 N COUNTRY RD, PORT JEFFERSON, NY 11777-2604
- **Practice address phone:** (631) 473-4443
- **Mailing address:** 75 N COUNTRY RD, PORT JEFFERSON, NY 11777-2119
- **Mailing address phone:** (631) 473-1320
- **Mailing address fax:** (631) 473-5254

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 5149000 | NY | Yes |

## Other

- **Enumeration date:** 03/02/2007
- **Last updated:** 08/22/2020