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1821185109
JOHN T. MATHER MEMORIAL HOSPITAL
PORT JEFFERSON, NY
NPI
1821185109
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Entity Type
Organization
Authorized Contact
JOSEPH WISNOSKI
Vice President Finance
631-473-1320
Organization Subpart ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
Enumeration Date
2006-10-06
Last Update Date
2015-04-29
Business Address
JOHN T. MATHER MEMORIAL HOSPITAL
75 N COUNTRY RD
PORT JEFFERSON, NY 11777-2119
Phone number: 631-473-1320
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Mailing Address
JOHN T. MATHER MEMORIAL HOSPITAL
625 BELLE TERRE RD SUITE 100
PORT JEFFERSON, NY 11777-2316
Phone number: 631-473-1320
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