HUNTINGTON HOSPITAL DOLAN FAMILY HEALTH CENTER NPI 1578593588

NPI Information

NPI: 1578593588
Provider Name: HUNTINGTON HOSPITAL DOLAN FAMILY HEALTH CENTER
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

CLIA Number: 33D0906391

Address:
284 PULASKI RD
GREENLAWN, NY
ZIP 11740
Phone: (631) 425-5250
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HUNTINGTON HOSPITAL DOLAN FAMILY HEALTH CENTER is a health service clinic center in Greenlawn, NY. HUNTINGTON HOSPITAL DOLAN FAMILY HEALTH CENTER NPI is 1578593588. The provider is registered as an organization entity type.

The provider's business location address is:

284 PULASKI RD
GREENLAWN, NY
ZIP 11740-602
Phone: (631) 425-5250
Fax: (631) 425-0140

The provider's authorized official is Michele Lee Cusack .
The authorized official title is Senior Vice President & Cfo and has the following contact phone number (516) 321-6058.

The CLIA number assigned to this NPI record is 33D0906391 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/4/2006 and was last updated on 11/28/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QH0100X	Clinic/Center	Health Service	5153207R	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	01743562	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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