Organization
ST. CHARLES HOSPITAL SHORT TERM REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM ALLISON (CHIEF FINANCIAL OFFICER)
(631) 376-4003
Entity
Organization
Contact information
Practice address
200 BELLE TERRE RD, PORT JEFFERSON, NY 11777-1928
(631) 474-6000
Mailing address
200 BELLE TERRE RD, PORT JEFFERSON, NY 11777-1928
(631) 474-6000
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
11/20/2009
Last updated
08/18/2010
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