# HUNTINGTON HOSPITAL ASSOCIATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** HUNTINGTON HOSPITAL OBGYN
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710235957
- **Authorized official:** MR. MICHAEL FAGAN (CFO)
- **Authorized official phone:** (631) 425-4262

## Contact information

- **Practice address:** 270 PARK AVE, HUNTINGTON, NY 11743-2787
- **Practice address phone:** (631) 547-6392
- **Practice address fax:** (631) 351-7861
- **Mailing address:** PO BOX 417675, BOSTON, MA 02241-5661
- **Mailing address phone:** (631) 547-6392
- **Mailing address fax:** (631) 351-7861

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 367A00000X | Advanced Practice Midwife | — | NULL | — |
| 367A00000X | Advanced Practice Midwife | — | — | — |

## Other

- **Enumeration date:** 08/20/2012
- **Last updated:** 09/04/2014