BROOKHAVEN MEMORIAL HOSP PSYCH; NPI #1073795209

Contact Information

BROOKHAVEN MEMORIAL HOSP PSYCH

101 HOSPITAL RD
PATCHOGUE, NY 11772-4870

Phone: 631-447-3076
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Neurology	2084N0400X	13	Physician/Neurology

Indicates primary specialty

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NPI Profile & details for BROOKHAVEN MEMORIAL HOSP PSYCH

NPI # 1073795209

LBN Legal business name BROOKHAVEN MEMORIAL HOSP PSYCH

Authorized official RON GIRAULO - (VP)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/29/2007

Last updated 11/29/2007 - About 19 years ago

Identifiers

Medicaid

02244824

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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BROOKHAVEN MEMORIAL HOSP PSYCH

Contact Information

Specialty

Neurology

NPI Profile & details for BROOKHAVEN MEMORIAL HOSP PSYCH

Reviews for BROOKHAVEN MEMORIAL HOSP PSYCH