Mary Immaculate Hospital

LBN: Mary Immaculate Hospital
Mary Immaculate Hospital is an health care organization with primary practice located at 24 Night Heron Dr , Stony Brook NY 11790-1108. The organization recently has only one registered license in Hospitals / Critical Access, which is considered as the primary health care specialty. Mary Immaculate Hospital can be contacted via phone (631) 689-5654, or through Ruder, Usha C via phone (715) 558-2714.

Contact Information

Primary practice address
24 Night Heron Dr Stony Brook NY 11790-1108
Phone: (631) 689-5654
Fax: (718) 558-2166
Website:
Map and Directions
Authorized official contact:
Name: Ruder, Usha C Doctor of Medicine (MD)
Phone: (715) 558-2714

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Critical Access 282NC0060X 115646 New York

Profile Details

NPI number 1245364223
LBN Legal business name Mary Immaculate Hospital
DBA Doing business as
Authorized official Ruder, Usha C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 14th, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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