| NPI | 1922430446 |
|---|---|
| Doing Business As | HUNTINGTON HOSPITAL BARIATRIC |
| Entity Type | Organization |
| Authorized Contact | MICHAEL FAGAN CFO/VP F 631-425-4262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RB0002X Internal Medicine, Bariatric Medicine |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 363AS0400X Physician Assistant, Surgical | |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2013-08-07 |