Organization
GOOD SAMARITAN HOSPITAL MEDICAL CENTER
Active
Parent organization
GOOD SAMARITAN HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
GOOD SAMARITAN HOSPITAL
Authorized official
MR. DAVID M HANNIGAN JR. (PHYSICIAN BILLING MGR)
(631) 465-6213
Entity
Organization
Contact information
Practice address
15 PARK AVE, BAY SHORE, NY 11706-7381
(631) 617-5250
Mailing address
15 PARK AVE, BAY SHORE, NY 11706-7381
(631) 617-5250
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
07/01/2011
Last updated
11/04/2019
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