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Contact Information

PILGRIM PSYCHIATRIC CENTER
998 CROOKED HILL RD
BRENTWOOD, NY11717-1043
 Phone: 631-761-3500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Health Maintenance Organization

302R00000X
Indicates primary specialty

NPI Profile & details for PILGRIM PSYCHIATRIC CENTER

NPI # 1306900212
LBN Legal business name PILGRIM PSYCHIATRIC CENTER
Authorized official ROBERT PUCCIO - (DIRECTOR, FINANCE)
Entity Organization
Organization subpart 1 No
Enumeration date 12/22/2006
Last updated 08/01/2008 - About 18 years ago
Identifiers
NY Medicaid 01618744
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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