Organization
HUNTINGTON MEDICAL GROUP LAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BIRJIS AKHUND M.D. (LABORATORY DIRECTOR)
(631) 425-2121
Entity
Organization
Contact information
Practice address
180 E PULASKI RD, HUNTINGTON STATION, NY 11746-1915
(631) 425-2121
(631) 425-2193
Mailing address
180 E PULASKI RD, HUNTINGTON STATION, NY 11746-1915
(631) 425-2121
(631) 425-2193
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L83811
MEDICARE IDENTIFICATION N
NY
Enumeration date
07/25/2007
Last updated
02/21/2012
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