Organization
BROOKHAVEN PHYSICIAN SERVICES, P. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TROY DICKINSON DO (AUTHORIZED OFFICIAL)
(631) 475-6900
Entity
Organization
Contact information
Practice address
100 HOSPITAL RD, SUITE 203, EAST PATCHOGUE, NY 11772-8809
(631) 475-6900
Mailing address
100 HOSPITAL RD, SUITE 203, EAST PATCHOGUE, NY 11772-8809
(631) 475-6900
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
08/20/2007
Last updated
01/20/2014
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