Organization
BROOKHAVEN SURGICAL SERVICES PC
Active
Parent organization
BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER
Authorized official
BRENDA J FARRELL (CFO)
(631) 654-7175
Entity
Organization
Contact information
Practice address
100 HOSPITAL RD, SUITE 106, PATCHOGUE, NY 11772-8809
(631) 475-8846
(631) 475-8800
Mailing address
100 HOSPITAL RD, SUITE 106, PATCHOGUE, NY 11772-8809
(631) 475-8846
(631) 475-8800
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
12/19/2007
Last updated
01/10/2018
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