Good Samaritan Hospital Medical Center
Pediatrics, Neonatal-Perinatal Medicine in West Islip, NY. Organization (NPI-2).
NPI number1851663140
StatusActive
Last updated in NPPESNov 4, 2019
Details
- NPI
- 1851663140
- Entity type
- Organization (NPI-2)
- Legal business name
- Good Samaritan Hospital Medical Center
- Organization subpart
- No
- Enumeration date
- Feb 1, 2012
- Last updated
- Nov 4, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080N0001X | Pediatrics, Neonatal-Perinatal Medicine | 5154001H | NY | Yes |
Practice location
1000 Montauk HwyAttn: Finance
West Islip, NY 11795-4927
Phone 631-376-3000
Mailing address
1000 Montauk HwyWest Islip, NY 11795-4927
Phone 631-376-3000
Authorized official
Jacqueline Brathwaite
Dir. Physician Credentials
5167051353
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Other Neonatal-Perinatal Medicine Physician providers in West Islip, NY
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