Organization
JOHN T MATHER MEMORIAL HOSPITAL
Active
Other names
Mather Wound Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH WISNOSKI (SENIOR VP FINANCE)
(631) 473-1320
Entity
Organization
Contact information
Practice address
75 N COUNTRY RD, PORT JEFFERSON, NY 11777-2119
(631) 473-1320
Mailing address
100 HIGHLANDS BLVD, BOX#9, PORT JEFFERSON, NY 11777-2320
(631) 686-7809
(631) 686-7972
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
02/23/2016
Last updated
02/23/2016
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