Organization
GOOD SAMARITAN HOSPITAL MEDICAL CENTER
Active
Other names
Good Samaritan Home Health Agency
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ELLEN POLIT (ADMINISTRATOR)
(631) 969-8200
Entity
Organization
Contact information
Practice address
15 PARK AVE, SUITE 200, BAY SHORE, NY 11706-7381
(631) 969-8200
Mailing address
15 PARK AVE, BAY SHORE, NY 11706-7381
(631) 969-8200
(631) 224-8678
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
5101600
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00274346
—
NY
Enumeration date
07/15/2005
Last updated
08/26/2010
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