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Organization
HUNTINGTON HOSPITAL ASSOCIATION
Active
Organization
HUNTINGTON HOSPITAL ASSOCIATION
Active
Other names
Huntington Hospital Faculty Practice
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL FAGAN (CFO)
(631) 425-4262
Entity
Organization
Contact information
Practice address
270 PARK AVE, HUNTINGTON, NY 11743-2787
(631) 547-6392
(631) 351-7861
Mailing address
PO BOX 415661, BOSTON, MA 02241-5661
(631) 547-6392
(631) 351-2063
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
—
2084P0800X
Psychiatry Physician
—
—
208C00000X
Colon & Rectal Surgery Physician
—
—
363A00000X
Physician Assistant
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03011516
—
NY
Enumeration date
02/22/2006
Last updated
07/30/2013
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