| NPI | 1710235957 |
|---|---|
| Doing Business As | HUNTINGTON HOSPITAL OBGYN |
| Entity Type | Organization |
| Authorized Contact | MICHAEL FAGAN CFO 631-425-4262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife |
| Enumeration Date | 2012-08-20 |
| Last Update Date | 2014-09-04 |