Organization
BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER
Active
Parent organization
BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER
Other names
Brookhaven Memorial Hospital Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER
Authorized official
KENNETH S SCHWARTZ MD (DIRECTOR)
(631) 654-7728
Entity
Organization
Contact information
Practice address
101 HOSPITAL ROAD, PATCHOGUE, NY 11772
(631) 654-7728
(631) 447-3698
Mailing address
P.O. BOX 22027, ALBANY, NY 12201-2027
(631) 321-8043
(631) 321-4235
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
—
—
2085N0904X
Nuclear Radiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02198121
—
NY
Enumeration date
10/10/2006
Last updated
03/25/2010
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