Provider Demographics
NPI:1164695243
Name:TOWN OF HUNTINGTON
Entity Type:Organization
Organization Name:TOWN OF HUNTINGTON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SENIOR CITIZENS DIVISIO
Authorized Official - Prefix:MS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:HARTY
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:631-351-3253
Mailing Address - Street 1:423 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11743-2803
Mailing Address - Country:US
Mailing Address - Phone:631-351-3293
Mailing Address - Fax:631-351-3221
Practice Address - Street 1:423 PARK AVE
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:NY
Practice Address - Zip Code:11743-2803
Practice Address - Country:US
Practice Address - Phone:631-351-3293
Practice Address - Fax:631-351-3221
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-09
Last Update Date:2008-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care