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Organization

ST CHARLES HOSPITAL DME

Active
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Organization

ST CHARLES HOSPITAL DME

Active
Parent organization
ST CHARLES HOSPITAL & REHABILITATION CENTER
Organization subpart
Yes

Provider details

NPI number
Legal business name
ST CHARLES HOSPITAL & REHABILITATION CENTER
Authorized official
MR. DAVID M HANNIGAN JR. (PHYSICIAN BILLING MANAGER)
(631) 465-6213
Entity
Organization

Contact information

Practice address
200 BELLE TERE ROAD, PORT JEFFERSON, NY 11777
(631) 474-6000
Mailing address
PO BOX 329, WEST ISLIP, NY 11795-0329
(631) 465-6213
(631) 465-6524

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
5149001H
NY

Other

Enumeration date
09/01/2010
Last updated
09/01/2010
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