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Organization
NORTH SHORE HEALTH SYSTEM MEDICAL FACULTY GROUP PRACTICE INC
Active
Organization
NORTH SHORE HEALTH SYSTEM MEDICAL FACULTY GROUP PRACTICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELE L CUSACK (SENIOR VICE PRESIDENT & CFO)
(516) 321-6058
Entity
Organization
Contact information
Practice address
450 LAKEVILLE RD, NEW HYDE PARK, NY 11042-1118
(516) 734-8900
(516) 734-8934
Mailing address
450 LAKEVILLE RD, NEW HYDE PARK, NY 11042-1118
(516) 734-8900
(516) 734-8934
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
NULL
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Enumeration date
02/19/2021
Last updated
02/19/2021
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