Organization
BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER, INC.
Active
Parent organization
BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER INC
Other names
Brookhaven Memorial Hospital Home Health Agency
Organization subpart
Yes
Provider details
NPI number
Legal business name
BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER INC
Authorized official
BRENDA J FARRELL (VICE PRESIDENT & CFO)
(631) 654-7175
Entity
Organization
Contact information
Practice address
103 WEST MAIN STREET, PATCHOGUE, NY 11772-3003
(631) 758-3600
(631) 758-3615
Mailing address
103 WEST MAIN STREET, PATCHOGUE, NY 11772-3003
(631) 758-3600
(631) 758-3615
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
5123600
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000086
EMPIRE BLUE CROSS
NY
05
—
00245529
—
NY
Enumeration date
07/07/2005
Last updated
08/26/2019
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