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Organization

GOOD SAMARITAN HOSPITAL MEDICAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JACQUELINE BRATHWAITE (DIR. PHYSICIAN CREDENTIALS)
(516) 705-1353
Entity
Organization

Contact information

Practice address
1000 MONTAUK HWY, ATTN: FINANCE, WEST ISLIP, NY 11795-4927
(631) 376-3000
Mailing address
1000 MONTAUK HWY, WEST ISLIP, NY 11795-4927
(631) 376-3000

Taxonomy

Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
5154001H
NY

Other

Enumeration date
02/01/2012
Last updated
11/04/2019
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