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General NPI Number Information
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NPI Number | 1831039379
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Entity Type | Organization
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Legal Business Name | HUNTINGTON STATION MEDICINE PC
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Dates
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Enumeration Date | 04/01/2026
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Last Update Date | 04/01/2026
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Provider Practice Location Address
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Address Line | 257 E JERICHO TPKE
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City | HUNTINGTON STATION
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State | NY
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Zip | 11746-7338
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Country | US
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Telephone | 631-424-6707
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Fax |
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Provider Business Mailing Address
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Address Line | 257 E JERICHO TPKE
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City | HUNTINGTON STATION
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State | NY
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Zip | 11746-7338
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Country | US
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Telephone | 631-424-6707
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Fax |
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Authorized Official
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Title or Position | MD
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Name | CHARLOTTE ANN RHEE
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Credential |
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Telephone | 631-424-6707
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number |
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License Number State |
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