BROOKHAVEN PHYSICIAN SERVICES P. C. NPI 1083807572

NPI Information

  • NPI: 1083807572
  • Provider Name: BROOKHAVEN PHYSICIAN SERVICES, P. C.
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Address: 100 HOSPITAL RD
    SUITE 203
    EAST PATCHOGUE, NY
    ZIP 11772
  • Phone: (631) 475-6900

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NPI Details

BROOKHAVEN PHYSICIAN SERVICES, P. C. is a general practice in East Patchogue, NY. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee BROOKHAVEN PHYSICIAN SERVICES, P. C. NPI is 1083807572. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

100 HOSPITAL RD
SUITE 203
EAST PATCHOGUE, NY
ZIP 11772-809
Phone: (631) 475-6900

The provider's authorized official is Troy Dickinson .
The authorized official title is Authorized Official and has the following contact phone number (631) 475-6900.

The enumeration date for this NPI number is 8/20/2007 and was last updated on 1/20/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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