Organization · Type 2 NPI

Brookhaven Memorial Hospital Medical Center

Diagnostic Radiology Physician · Patchogue, NY

NPI number 1114014065 Active

Practice location

101 Hospital Road
Patchogue, NY 11772

Call (631) 654-7728 Map

Fax (631) 447-3698

Mailing address

P.o. Box 22027
Albany, NY 12201-2027

Specialties and licenses

Taxonomy	Code	License
Body Imaging Physician	2085B0100X	None listed
Nuclear Radiology Physician	2085N0904X	None listed
Diagnostic Radiology Physician Primary	2085R0202X	None listed
Vascular & Interventional Radiology Physician	2085R0204X	None listed

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

24 other providers at this address

Other diagnostic radiology physician providers in Patchogue

See all in Patchogue →

NPI record

NPI: 1114014065
Entity type: Organization (Type 2)
Issued: Oct 10, 2006
Last updated: Mar 25, 2010
Status: Active
Subpart: Yes of Brookhaven Memorial Hospital Medical Center

Other names

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Brookhaven Memorial Hospital Medical Center · doing business as

Authorized official

Kenneth S Schwartz, MD
Director
(631) 654-7728

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1114014065

Brookhaven Memorial Hospital Medical Center's National Provider Identifier is 1114014065, issued on Oct 10, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Patchogue, NY. The record was last updated on Mar 25, 2010.