Organization
GOOD SAMARITAN HOSPITAL MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM ALLISON (CHIEF FINANCIAL OFFICER)
(631) 376-4003
Entity
Organization
Contact information
Practice address
1000 MONTAUK HWY, 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
261QH0700X
Hearing and Speech Clinic/Center
—
—
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000384
BLUE CROSS
NY
05
—
03000337
—
NY
Enumeration date
03/22/2006
Last updated
03/06/2025
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