Brookhaven Memorial Hospital Medical Center

NPI 1114014065

Information of Brookhaven Memorial Hospital Medical Center

The NPI 1114014065 is an Organization type. NPI No 1114014065 belongs to Brookhaven Memorial Hospital Medical Center. Brookhaven Memorial Hospital Medical Center specializes in Body Imaging. is practising at 101 Hospital Road, Patchogue, New York 11772. You can also contact him via phone number (631) 654-7728.

Practice address located

  • 101 Hospital Road
  • Patchogue, New York 11772
  • (631) 654-7728
  • (631) 654-7728

Mailling address located

  • P.o. Box 22027
  • Albany, New York 12201
  • (631) 321-8043
  • (631) 321-4235
NPI No 1114014065
Primary Taxonomy
Authorized Official
Specialty of the provider
PrimaryTaxonomy CodeClassificationLicense NumberLicense State
No2085B0100XBody Imagingn/an/a
No2085N0904XNuclear Radiologyn/an/a
No2085R0204XVascular & Interventional Radiologyn/an/a
Yes2085R0202XDiagnostic Radiologyn/an/a
Identifier for this provider
StateIdentifierTypeIssuer
NY02198121Medicaidn/a
NYW86531Medicare ID-Type Unspecifiedn/a
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