Healthcare Provider Details

I. General information

NPI: 1831039379
Provider Name (Legal Business Name): HUNTINGTON STATION MEDICINE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2026
Last Update Date: 04/01/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

257 E JERICHO TPKE
HUNTINGTON STATION NY
11746-7338
US

IV. Provider business mailing address

257 E JERICHO TPKE
HUNTINGTON STATION NY
11746-7338
US

V. Phone/Fax

Practice location:
  • Phone: 631-424-6707
  • Fax:
Mailing address:
  • Phone: 631-424-6707
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number
License Number State

VIII. Authorized Official

Name: CHARLOTTE ANN RHEE
Title or Position: MD
Credential:
Phone: 631-424-6707