MEDICARE: HUNTINGTON MEDICAL AND REHABILITATION, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	1158711	NY

General Provider Information

NPI Number	:	1730111014
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HUNTINGTON MEDICAL AND REHABILITATION, P.C.

Provider Business Mailing Address
First Line	:	33 WALT WHITMAN RD
Second Line	:	SUITE 100
City	:	HUNTINGTON STATION
State	:	NY
Zip	:	11746-3640
Country	:	US
Telephone Number	:	631-425-9400
Fax Number	:	631-425-0419

Provider Business Practice Location Address
First Line	:	33 WALT WHITMAN RD
Second Line	:	SUITE 100
City	:	HUNTINGTON STATION
State	:	NY
Zip	:	11746-3640
Country	:	US
Telephone Number	:	631-425-9400
Fax Number	:	631-425-0419

Authorized Official
Title or Position	:	OWNER PRESIDENT
Name	:	DR. JUAN ALEMAN
Credential	:	M.D.
Telephone Number	:	631-425-9400

Provider Enumeration Date	:	07/07/2006
Last Update Date	:	08/22/2020

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