| Ob/gyn Of Huntington Pllc | |
|
475 New York Ave Huntington NY 11743-3441 | |
| (631) 351-7100 | |
| Not Available |
| Full Name | Ob/gyn Of Huntington Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 475 New York Ave, Huntington, New York |
| Authorized Official Name and Position | Tammy Tuchman (MANAGER MEMBER) |
| Authorized Official Contact | 9176086590 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ob/gyn Of Huntington Pllc 475 New York Ave Huntington NY 11743-3441 Ph: () - | Ob/gyn Of Huntington Pllc 475 New York Ave Huntington NY 11743-3441 Ph: (631) 351-7100 |
| NPI Number | 1174048722 |
|---|---|
| Provider Enumeration Date | 08/04/2017 |
| Last Update Date | 12/22/2017 |
| Medicare PECOS PAC ID | 1850650938 |
|---|---|
| Medicare Enrollment ID | O20180118000052 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174048722 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Tammy T Tuchman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033253299 PECOS PAC ID: 6406035666 Enrollment ID: I20110120000788 |
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