Organization Name: | JOHN T. MATHER MEMORIAL HOSPITAL |
NPI Number: | 1093718728 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOSEPH J. WISNOSKI (VP-FINANCE) |
Mailing Address: | 75 N Country Rd Port Jefferson |
State: | NY US |
Postal Code: | 117772190 |
Phone Number: | 6314731320 |
Fax Number: | 6314735254 |
NPI Enumeration Date: | 05/27/2005 |
NPI Last Update Date: | 07/24/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 273R00000X |
License Number: | 5149000 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Hospital Units |
Taxonomy Classification: | Psychiatric Unit |
Taxonomy Specialization: | |
Taxonomy Definition: | In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians |