Brookhaven Health Care Facility

NPI 1386631547 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1386631547
Enumeration Date 10/04/2005
Last Updated 03/23/2012
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name DEBORAH DEBORAH
Position ADMINISTRATOR
Phone (631) 447-8800
Fax (631) 447-8830
Practice Location
801 GAZZOLA DR
EAST PATCHOGUE NY, 11772-4900, US
Phone (631) 447-8800
Fax (631) 447-8830
Business Location
801 GAZZOLA DR
EAST PATCHOGUE NY, 11772-4900, US
Phone (631) 447-8800
Fax (631) 447-8830
Toxanomy
Taxonomy Code 314000000X
License State New York
License Number 5123304N
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According to our database, Brookhaven Health Care Facility NPI is 1386631547, taxonomy code is 314000000X and license number is 5123304N, license state is located at New York. Brookhaven Health Care Facility physically located at 801 Gazzola Dr, East Patchogue NY, 11772-4900. NPI Number 1033115704 has the healthcare provider type.

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1386631547 NPI number is provided on an as is basis without warranty of any kind. 1386631547 is maintained by the National Plan & Provider Enumeration System. The contents of Brookhaven Health Care Facility are for informational purposes only.