Organization
GOOD SAMARITAN HOSPITAL MEDICAL CENTER
Active
Other names
Samaritan Pediatric Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID M HANNIGAN (MANAGER PATIENT ACCOUNTS)
(631) 465-6213
Entity
Organization
Contact information
Practice address
1000 MONTAUK HWY, WEST ISLIP, NY 11795-4927
(631) 376-3000
Mailing address
PO BOX 329, WEST ISLIP, NY 11795-0329
(631) 465-6213
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5154001H
NY
Other
Enumeration date
06/11/2009
Last updated
11/04/2019
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