Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Immaculate Hospital

Organization Critical Access Hospital · NPI 1245364223

Mary Immaculate Hospital is a Critical Access Hospital in Stony Brook, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007

Practice location Address checks out

24 Night Heron Dr
Stony Brook, NY 11790-1108
Phone: (631) 689-5654
Fax: (718) 558-2166
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Critical Access Hospital (primary) Taxonomy 282NC0060X · Licence 115646 (NY)

Record details

NPI number1245364223
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Usha Ruder — Chair, Pathology Department · (715) 558-2714
NPI enumeratedMarch 14, 2007
Last updated in NPPESAugust 22, 2020
Mailing address152-11 89th Ave., Mary Immaculate Hospital, Jamaica, NY 11432-1108

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