Organization · Type 2 NPI

Brookhaven Memorial Hospital Medical Center

Mental Health Clinic/Center (Including Community Mental Health Center) · Patchogue, NY

NPI number 1114141298 Active

Practice location

365 East Main Street
Patchogue, NY 11772-3145

Call (631) 866-2030 Map

Fax (631) 687-1830

Mailing address

101 Hospital Road
Patchogue, NY 11772-4870

Specialties and licenses

Taxonomy	Code	License
Mental Health Clinic/Center (Including Community Mental Health Center) Primary	261QM0801X	None listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

Another provider at this address

Mei Yuk Kee, MDPediatrics Physician Patchogue, NY NPI 1649289869

Other mental health clinic/center (including community mental health center) providers in Patchogue

See all in Patchogue →

NPI record

NPI: 1114141298
Entity type: Organization (Type 2)
Issued: Apr 12, 2007
Last updated: May 12, 2015
Status: Active
Subpart: Yes of Brookhaven Memorial Hospital Medical Center

Other names

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Brookhaven Memorial Hospital Health Center West · other name

Authorized official

Brenda J Farrell
Vice President & CFO
(631) 654-7175

Verify this record

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 1114141298

Brookhaven Memorial Hospital Medical Center's National Provider Identifier is 1114141298, issued on Apr 12, 2007. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Patchogue, NY. The record was last updated on May 12, 2015.