John T Mather Memorial Hospital
John T Mather Memorial Hospital is a Metabolic Nutrition Registered Dietitian in Port Jefferson, New York. Registered with an NPI since 2014.
- In the registry since
- 2014
- Specialties on file
- 2
Practice location Address checks out
625 Belle Terre Rd Ste 203Port Jefferson, NY 11777-2316
Phone: (631) 686-7897
Fax: (631) 686-2503
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Metabolic Nutrition Registered Dietitian (primary) | Taxonomy 133VN1006X |
|---|---|
| Medical Physician Assistant | Taxonomy 363AM0700X |
Record details
| NPI number | 1265844716 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Joseph Wisnoski — Vp Finance · (631) 473-1320 |
| Other names | Medical Weight Management |
| NPI enumerated | June 2, 2014 |
| Last updated in NPPES | August 27, 2014 |
| Mailing address | 625 Belle Terre Rd, Suite 203, Port Jefferson, NY 11777-2316 |