# BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BROOKHAVEN MEMORIAL HOSPITAL
- **Other names:** Long Island Community Hospital, Brookhaven Memorial Hospital Center for Wound Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1598945735
- **Legal business name:** BROOKHAVEN MEMORIAL HOSPITAL
- **Authorized official:** BRENDA J FARRELL (VICE PRESIDENT & CFO)
- **Authorized official phone:** (631) 654-7175

## Contact information

- **Practice address:** 33 MEDFORD AVENUE, SUITE D, PATCHOGUE, NY 11772-1222
- **Practice address phone:** (631) 687-4190
- **Practice address fax:** (631) 687-4199
- **Mailing address:** 101 HOSPITAL ROAD, PATCHOGUE, NY 11772-4870
- **Mailing address phone:** (631) 654-7100
- **Mailing address fax:** (631) 687-4199

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0800X | Recovery Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/05/2007
- **Last updated:** 06/02/2022