Organization
SOUTHAMPTON HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHERILLE SEVILLA DO (PHYSICIAN)
(510) 714-6499
Entity
Organization
Contact information
Practice address
35 PECONIC RD, SOUTHAMPTON, NY 11968-3624
(510) 714-6499
Mailing address
35 PECONIC RD, SOUTHAMPTON, NY 11968-3624
(510) 714-6499
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
11/07/2011
Last updated
11/07/2011
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