Organization
ST. CHARLES HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIM A VITACCO MS (ANP)
(631) 474-6975
Entity
Organization
Contact information
Practice address
2 SHELTER HARBOR CT, WADING RIVER, NY 11792-2202
(631) 886-1668
Mailing address
2 SHELTER HARBOR CT, WADING RIVER, NY 11792-2202
(631) 886-1668
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
F303866-1
NY
Other
Enumeration date
01/28/2007
Last updated
08/22/2020
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