# GOOD SAMARITAN HOSPITAL MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851663140
- **Authorized official:** JACQUELINE BRATHWAITE (DIR. PHYSICIAN CREDENTIALS)
- **Authorized official phone:** (516) 705-1353

## Contact information

- **Practice address:** 1000 MONTAUK HWY, ATTN: FINANCE, WEST ISLIP, NY 11795-4927
- **Practice address phone:** (631) 376-3000
- **Mailing address:** 1000 MONTAUK HWY, WEST ISLIP, NY 11795-4927
- **Mailing address phone:** (631) 376-3000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | 5154001H | NY | Yes |

## Other

- **Enumeration date:** 02/01/2012
- **Last updated:** 11/04/2019