Organization Name: | HUNTINGTON HOSPITAL DOLAN FAMILY HEALTH CENTER |
NPI Number: | 1578593588 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL FAGAN (CHIEF FINANCIAL OFFICER) |
Mailing Address: | 284 Pulaski Rd Greenlawn |
State: | NY US |
Postal Code: | 117401602 |
Phone Number: | 6314255250 |
Fax Number: | 6314250140 |
NPI Enumeration Date: | 07/04/2006 |
NPI Last Update Date: | 08/22/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QH0100X |
License Number: | 5153207R |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Health Service |
Taxonomy Definition: |