Organization
DHCH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA BRIDGET DUPITON (BILLING MANAGER)
(631) 385-8677
Entity
Organization
Contact information
Practice address
195 E MAIN STREET, HUNTINGTON, NY 11743
(631) 385-8677
(631) 385-0611
Mailing address
195 E MAIN STREET, HUNTINGTON, NY 11743
(631) 385-8677
(631) 385-0611
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5153208R
OPERATING CERTIFICATE
NY
Enumeration date
02/23/2016
Last updated
06/12/2018
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