Organization
GOOD SHEPHERD HOSPICE
Active
Parent organization
GOOD SHEPHERD HOSPICE
Other names
Good Shepherd Physicians
Organization subpart
Yes
Provider details
NPI number
Legal business name
GOOD SHEPHERD HOSPICE
Authorized official
DR. KERRIANNE P PAGE MD (CHIEF MEDICAL OFFICER)
(631) 465-6300
Entity
Organization
Contact information
Practice address
110 BI COUNTY BLVD, FARMINGDALE, NY 11735-3943
(631) 828-7415
(631) 828-7494
Mailing address
110 BI COUNTY BLVD, FARMINGDALE, NY 11735-3943
(631) 828-7415
(631) 828-7494
Taxonomy
Speciality
Code
Description
License number
State
207LH0002X
Hospice and Palliative Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
09/25/2013
Last updated
09/28/2023
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