Organization
BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER
Active
Parent organization
BROOKHAVEN MEMORIAL HOSPITAL
Other names
Long Island Community Hospital, Brookhaven Memorial Hospital Center for Wound Care
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
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
(631) 687-4199
Taxonomy
Speciality
Code
Description
License number
State
261QR0800X
Recovery Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/05/2007
Last updated
06/02/2022
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