Organization
BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER
Active
Parent organization
BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER
Other names
Brookhaven Memorial Hospital Bellport Primary Care Center Physicians
Organization subpart
Yes
Provider details
NPI number
Legal business name
BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER
Authorized official
MRS. BRENDA J FARRELL (CHIEF FINANCIAL OFFICERE)
(631) 654-7175
Entity
Organization
Contact information
Practice address
515 BELLPORT AVE, BELLPORT, NY 11713-1711
(631) 227-6600
(631) 286-8290
Mailing address
515 BELLPORT AVE, BELLPORT, NY 11713-1711
(631) 227-6600
(631) 286-8290
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/20/2014
Last updated
08/22/2014
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