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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
JUSTIN LUNDBYE (PRESIDENT)
(631) 376-4186
Entity
Organization
Contact information
Practice address
1000 MONTAUK HWY, WEST ISLIP, NY 11795-4927
(631) 376-3000
Mailing address
1000 MONTAUK HWY, WEST ISLIP, NY 11795-4927
(631) 376-3000
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000384
BLUE CROSS
NY
05
—
03000337
—
NY
Enumeration date
03/22/2006
Last updated
05/19/2026
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