Organization
HUNTINGTON HOSPITAL ASSOCIATION
Active
Other names
Huntington Hospital ICU
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 415655, BOSTON, MA 02241-5655
(631) 547-6392
(631) 351-2063
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
—
—
207RP1001X
Pulmonary Disease Physician
—
—
2086S0102X
Surgical Critical Care Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02534316
—
NY
Enumeration date
02/17/2006
Last updated
07/30/2013
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