Organization
HUNTINGTON HOSPITAL DOLAN FAMILY HEALTH CENTER
Active
Organization
HUNTINGTON HOSPITAL DOLAN FAMILY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELE LEE CUSACK (SENIOR VICE PRESIDENT & CFO)
(516) 321-6058
Entity
Organization
Contact information
Practice address
284 PULASKI RD, GREENLAWN, NY 11740-1602
(631) 425-5250
(631) 425-0140
Mailing address
284 PULASKI RD, GREENLAWN, NY 11740-1602
(631) 425-5250
(631) 425-0140
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
5153207R
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01743562
—
NY
Enumeration date
07/04/2006
Last updated
11/28/2018
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