Organization
JOHN T. MATHER MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARON DONNELLY (DIRECTOR)
(631) 686-7603
Entity
Organization
Contact information
Practice address
75 N COUNTRY RD, PORT JEFFERSON, NY 11777-2119
(631) 473-1320
(631) 474-4667
Mailing address
100 HIGHLAND BLVD BOX #9, PORT JEFFERSON, NY 11777
(631) 473-1320
(631) 686-7658
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
10/06/2006
Last updated
05/19/2015
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