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Organization
NORTH SHORE LIJ PHYSICIANS GROUP PC
Active
Organization
NORTH SHORE LIJ PHYSICIANS GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELE L CUSACK (EVP & CFO)
(516) 321-6058
Entity
Organization
Contact information
Practice address
145 COMMUNITY DR, GREAT NECK, NY 11021-5502
(516) 465-8182
Mailing address
145 COMMUNITY DR, GREAT NECK, NY 11021-5502
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/18/2011
Last updated
03/20/2025
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