Healthcare Provider Details

I. General information

NPI: 1528386810
Provider Name (Legal Business Name): ST. FRANCIS HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2010
Last Update Date: 05/11/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

540 UNION BLVD
WEST ISLIP NY
11795
US

IV. Provider business mailing address

P.O. BOX 1609
PORT WASHINGTON NY
11050
US

V. Phone/Fax

Practice location:
  • Phone: 631-669-5595
  • Fax: 631-422-5652
Mailing address:
  • Phone: 516-562-6798
  • Fax: 516-705-3575

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number092013-C
License Number StateNY

VIII. Authorized Official

Name: MR. ALAN GUERCI
Title or Position: PRESIDENT AND CEO
Credential: MD
Phone: 516-562-6798