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Organization

BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER, INC.

Active
Parent organization
BROOKHAVEN MEMORIAL HOSPITAL
Other names
Long Island Community Hospital
Organization subpart
Yes

Provider details

NPI number
Legal business name
BROOKHAVEN MEMORIAL HOSPITAL
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) 654-7755
(631) 687-2822
Mailing address
101 HOSPITAL ROAD, PATCHOGUE, NY 11772-4870
(631) 654-7100

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
10/19/2007
Last updated
11/06/2020
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