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General NPI Number Information
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NPI Number | 1194748368
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Entity Type | Organization
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Legal Business Name | BRUNSWICK HOSPITAL CENTER, INC
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 09/01/2020
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Provider Practice Location Address
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Address Line | 81 LOUDEN AVE
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City | AMITYVILLE
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State | NY
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Zip | 11701-2711
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Country | US
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Telephone | 631-789-7225
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Fax | 631-789-4929
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Provider Business Mailing Address
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Address Line | 81 LOUDEN AVE
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City | AMITYVILLE
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State | NY
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Zip | 11701-2711
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Country | US
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Telephone | 631-789-5758
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Fax | 631-789-4929
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | HARVEY GERALD GERSTEN
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Credential |
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Telephone | 631-789-5758
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number | 6423021
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number |
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License Number State |
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