Organization
JOHN T. MATHER MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH WISNOSKI (VICE PRESIDENT FINANCE)
(631) 473-1320
Entity
Organization
Contact information
Practice address
75 N COUNTRY RD, PORT JEFFERSON STATION, NY 11777-2119
(631) 473-1320
(631) 686-7972
Mailing address
PO BOX 6435, BRATTLEBORO, VT 05302-6435
(631) 473-1320
(631) 686-7972
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
09/22/2006
Last updated
01/04/2023
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