Organization
BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER
Active
Parent organization
BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER
Other names
School Based Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER
Authorized official
DR. JAMES SAPALA MD (AUTHORIZED OFFICIAL)
(631) 438-5030
Entity
Organization
Contact information
Practice address
350 MARTHA AVE, BELLPORT, NY 11713-1525
(631) 286-6544
(631) 286-7128
Mailing address
100 HOSPITAL RD, SUITE 203, EAST PATCHOGUE, NY 11772-8809
(631) 475-6900
(631) 447-5954
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
01/17/2013
Last updated
01/17/2013
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