Organization
JOHN T MATHER MEMORIAL HOSPITAL
Active
Parent organization
GENERAL SURGERY
Organization subpart
Yes
Provider details
NPI number
Legal business name
GENERAL SURGERY
Authorized official
JOSEPH WINOSKI (VICE PRESIDENT)
(631) 473-1320
Entity
Organization
Contact information
Practice address
75 N COUNTRY RD, PORT JEFFERSON, NY 11777-2119
(631) 473-1320
Mailing address
625 BELLE TERRE RD, SUITE 100, PORT JEFFERSON, NY 11777-2316
(631) 473-1320
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
08/11/2009
Last updated
08/11/2009
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