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Organization

BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER, INC.

Active
Parent organization
BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER, INC.
Other names
Long Island Community Hospital, National Diabetes Prevention Program
Organization subpart
Yes

Provider details

NPI number
Legal business name
BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER, INC.
Authorized official
BRENDA J FARRELL (VICE PRESIDENT AND CFO)
(631) 654-7175
Entity
Organization

Contact information

Practice address
103 W MAIN ST, PATCHOGUE, NY 11772-3003
(631) 687-4188
(631) 687-2879
Mailing address
101 HOSPITAL ROAD, DIABETES WELLNESS PROGRAM, PATCHOGUE, NY 11772-4870
(631) 687-4188
(631) 687-2879

Taxonomy

Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
5123000H
NY

Other

Enumeration date
11/21/2017
Last updated
02/06/2020
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