| NPI | 1386619385 |
|---|---|
| Doing Business As | HUNTINGTON HOSPITAL FACULTY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | MICHAEL FAGAN CFO 631-425-4262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| 208C00000X Colon & Rectal Surgery | |
| 363AM0700X Physician Assistant Medical | |
| 363AS0400X Physician Assistant Surgical | |
| 363L00000X Nurse Practitioner | |
| 363LA2200X Nurse Practitioner Adult Health | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2013-07-30 |