Organization
BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER, INC.
Active
Other names
Brookhaven Memorial Hospital Psychiatric Physicians, Long Island Community Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA J FARRELL (VICE PRESIDENT & CFO)
(631) 654-7175
Entity
Organization
Contact information
Practice address
101 HOSPITAL ROAD, PATCHOGUE, NY 11772-4870
(631) 654-7760
(631) 447-3044
Mailing address
101 HOSPITAL ROAD, PATCHOGUE, NY 11772-4870
(631) 654-7100
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02244824
—
NY
Enumeration date
10/30/2007
Last updated
06/02/2022
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