Organization
JOHN T. MATHER MEMORIAL HOSPITAL
Active
Other names
Mather Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA IADANZA (ASSISTANT VICE PRESIDENT)
(631) 686-7830
Entity
Organization
Contact information
Practice address
75 N COUNTRY RD, PORT JEFFERSON, NY 11777-2119
(631) 473-1320
Mailing address
PO BOX 6435, BRATTLEBORO, VT 05302-6435
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
—
207RI0011X
Interventional Cardiology Physician
Primary
—
—
Other
Enumeration date
02/04/2021
Last updated
02/04/2021
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