Organization
JOHN T MATHER MEMORIAL HOSPITAL
Active
Parent organization
JOHN T MATHER MEMORIAL HOSPITAL
Other names
Intensivists
Organization subpart
Yes
Provider details
NPI number
Legal business name
JOHN T MATHER MEMORIAL HOSPITAL
Authorized official
JOSEPH WISNOSKI (AUTHORIZED OFFICIAL)
(631) 473-1320
Entity
Organization
Contact information
Practice address
75 N COUNTRY RD, PORT JEFFERSON, NY 11777-2119
(631) 473-1320
Mailing address
75 N COUNTRY ROAD, PORT JEFFERSON, NY 11777-2119
(631) 473-1320
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02859121
—
NY
Enumeration date
08/12/2008
Last updated
08/12/2008
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