Organization
BROOKHAVEN MEM HOSP-NUC C
Active
Parent organization
BROOKHAVEN MEMORIAL HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
BROOKHAVEN MEMORIAL HOSPITAL
Authorized official
SCOTT MATHESIE (REVENUE CYCLE MANAGER)
(631) 687-5427
Entity
Organization
Contact information
Practice address
101 HOSPITAL RD, PATCHOGUE, NY 11772-4870
(631) 654-7243
(631) 687-2842
Mailing address
PO BOX 22073, ALBANY, NY 12201-2073
(631) 654-7243
(631) 687-2842
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
5123000H
NY
Other
Enumeration date
11/05/2007
Last updated
01/14/2008
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