# HUNTINGTON MEDICAL, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194966754
- **Authorized official:** GLEN ROSS M.D. (OWNER)
- **Authorized official phone:** (631) 425-9400

## Contact information

- **Practice address:** 33 WALT WHITMAN RD, SUITE 100, HUNTINGTON STATION, NY 11746-3640
- **Practice address phone:** (631) 425-9400
- **Practice address fax:** (631) 425-0419
- **Mailing address:** 33 WALT WHITMAN RD, SUITE 100, HUNTINGTON STATION, NY 11746-3640
- **Mailing address phone:** (631) 425-9400
- **Mailing address fax:** (631) 425-0419

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | 185044 | NY | Yes |

## Other

- **Enumeration date:** 03/11/2009
- **Last updated:** 03/11/2009