Organization
JOHN T MATHER MEMORIAL HOSPITAL
Active
Other names
Back and Neck Pain Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARON DONNELLY (PROJECT DIRECTOR)
(631) 473-1320
Entity
Organization
Contact information
Practice address
75 N COUNTRY RD, PORT JEFFERSON, NY 11777-2119
(631) 473-1320
(631) 686-7972
Mailing address
75 N COUNTRY RD, PORT JEFFERSON, NY 11777-2119
(631) 473-1320
(631) 686-7972
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
05/08/2015
Last updated
05/08/2015
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