Organization
HUNTINGTON HOSPITAL ASSOCIATION
Active
Other names
End Stage Renal Dialysis Facility
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELE L CUSACK (SENIOR VICE PRESIDENT & CFO)
(516) 325-6058
Entity
Organization
Contact information
Practice address
270 PARK AVE, HUNTINGTON, NY 11743
(631) 351-2000
(631) 351-2586
Mailing address
972 BRUSH HOLLOW RD FL 5, WESTBURY, NY 11590-1740
(516) 876-6065
(516) 876-5572
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
01/03/2008
Last updated
07/23/2018
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