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Organization
HUNTINGTON HOSPITAL ASSOCIATION
Active
Organization
HUNTINGTON HOSPITAL ASSOCIATION
Active
Other names
HUNTINGTON HOSPITAL OBGYN
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 417675, BOSTON, MA 02241-5661
(631) 547-6392
(631) 351-7861
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
367A00000X
Advanced Practice Midwife
—
NULL
367A00000X
Advanced Practice Midwife
—
—
Other
Enumeration date
08/20/2012
Last updated
09/04/2014
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