Organization
ST. CATHERINE OF SIENA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN POHLMAN (VP FINANCE)
(631) 862-3107
Entity
Organization
Contact information
Practice address
50 ROUTE 25A, SMITHTOWN, NY 11787-1348
(631) 862-3000
Mailing address
PO BOX 95000-6565, PHILADELPHIA, PA 19195-6565
(631) 862-3000
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000335
BLUE CROSS
NY
05
—
03010184
—
NY
Enumeration date
03/23/2006
Last updated
11/17/2016
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