Organization
HUNTINGTON HOSPTIAL ASSOCIATION
Active
Other names
Huntington SNF Practitioners
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL FAGAN (CFO/VPF)
(631) 425-4262
Entity
Organization
Contact information
Practice address
378 SYOSSET WOODBURY RD, WOODBURY, NY 11797-1200
(516) 622-7729
Mailing address
PO BOX 415655, BOSTON, MA 02241-5655
(631) 547-6000
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03479063
—
NY
Enumeration date
12/29/2010
Last updated
07/30/2013
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