Organization
HUNTINGTON HOSPITAL NUCLEAR MEDICINE DEPARTMENT
Active
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) 351-2063
Mailing address
PO BOX 415661, BOSTON, MA 02241-5661
(631) 547-6392
(631) 351-2063
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02529591
—
NY
Enumeration date
02/22/2006
Last updated
02/04/2013
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