Organization
BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER, INC.
Active
Other names
Long Island Community Hospital, Diabetes Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA J FARRELL (VICE PRESIDENT & CFO)
(631) 654-7175
Entity
Organization
Contact information
Practice address
33 MEDFORD AVENUE, SUITE D, PATCHOGUE, NY 11772-1222
(631) 687-4190
(631) 687-4199
Mailing address
101 HOSPITAL ROAD, PATCHOGUE, NY 11772-4870
(631) 654-7100
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
01/09/2009
Last updated
06/02/2022
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