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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