Provider Demographics
NPI:1982663423
Name:ST. CATHERINE OF SIENA MEDICAL CENTER
Entity Type:Organization
Organization Name:ST. CATHERINE OF SIENA MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OF FINANCE
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:POHLMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-862-3107
Mailing Address - Street 1:PO BOX 95000-6565
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19195-6585
Mailing Address - Country:US
Mailing Address - Phone:631-862-3000
Mailing Address - Fax:
Practice Address - Street 1:50 ROUTE 25A
Practice Address - Street 2:
Practice Address - City:SMITHTOWN
Practice Address - State:NY
Practice Address - Zip Code:11787-1348
Practice Address - Country:US
Practice Address - Phone:631-862-3000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-22
Last Update Date:2016-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY000335OtherBLUE CROSS
NY03010193Medicaid
NY5129150001Medicare NSC
330401Medicare ID - Type Unspecified