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Organization
LONG ISLAND JEWISH MEDICAL CENTER
Active
Organization
LONG ISLAND JEWISH MEDICAL CENTER
Active
Other names
LONG ISLAND JEWISH MEDICAL CENTER HOMECARE
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
1983 MARCUS AVE, NEW HYDE PARK, NY 11042
(516) 326-6500
(516) 326-9282
Mailing address
1983 MARCUS AVE, NEW HYDE PARK, NY 11042-2000
(516) 326-6500
(516) 326-9282
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
7003608
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000223
EMPIRE BCBS
NY
05
—
00243903
—
NY
01
—
0502850
AETNA
—
01
—
337170
HORIZON HEALTHCARE
—
01
—
99343
PRUCARE
—
01
—
ANC1425
OXFORD
—
01
—
IC0905
HEALTHNET
—
01
—
ON05439
MDNY
—
Enumeration date
02/07/2006
Last updated
05/21/2018
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