| Cardiology Department/eeg | |
|
270 Park Ave Huntington NY 11743-2787 | |
| (631) 547-6392 | |
| (631) 351-2063 |
| Full Name | Cardiology Department/eeg |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 270 Park Ave, Huntington, New York |
| Authorized Official Name and Position | Michael Fagan (CFO) |
| Authorized Official Contact | 6314254262 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cardiology Department/eeg Po Box 415661 Boston MA 02241-5661 Ph: (631) 547-6392 | Cardiology Department/eeg 270 Park Ave Huntington NY 11743-2787 Ph: (631) 547-6392 |
| NPI Number | 1851366850 |
|---|---|
| Provider Enumeration Date | 02/22/2006 |
| Last Update Date | 09/26/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851366850 | NPI | - | NPPES |
| 02529591 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| 2084N0600X | Psychiatry & Neurology - Clinical Neurophysiology | (* (Not Available)) | Secondary |
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