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Organization

GOOD SAMARITAN HOSPITAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVE HANNIGAN (DIRECTOR)
(631) 376-3000
Entity
Organization

Contact information

Practice address
1000 MONTAUK HWY, WEST ISLIP, NY 11795-4927
(631) 376-3000
Mailing address
1000 MONTAUK HWY, WEST ISLIP, NY 11795-4927
(631) 376-3000

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary

Other

Enumeration date
03/23/2009
Last updated
03/23/2009
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