| Organization Name: | GOOD SAMARITAN HOSPITAL |
| NPI Number: | 1033401211 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ELIZABETH MARION JAQUAY (OCCUPATIONAL THERAPIST) |
| Mailing Address: | 1000 Montauk Highway West Islip |
| State: | NY US |
| Postal Code: | 11795 |
| Phone Number: | 6313763069 |
| Fax Number: | |
| NPI Enumeration Date: | 05/06/2011 |
| NPI Last Update Date: | 05/06/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0401X |
| License Number: | 0160601 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Taxonomy Definition: | |