Organization
JOHN T. MATHER MEMORIAL HOSPITAL
Active
Other names
PORT JEFF MRI
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANK T. LETTERA (VP-FINANCE)
(631) 476-2753
Entity
Organization
Contact information
Practice address
120 N COUNTRY RD, PORT JEFFERSON, NY 11777-2604
(631) 473-4443
Mailing address
75 N COUNTRY RD, PORT JEFFERSON, NY 11777-2119
(631) 473-1320
(631) 473-5254
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
5149000
NY
Other
Enumeration date
03/02/2007
Last updated
08/22/2020
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