# NORH SHORE LIJ- ZUCKER HILLSIDE HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144494311
- **Authorized official:** MS. JANE C RANDELL MSN,NPP,CPNP (NURSE PRACTITIONER)
- **Authorized official phone:** (718) 470-3500

## Contact information

- **Practice address:** 444 COMMUNITY DR, MANHASSET, MANHASSET, NY 11030-3820
- **Practice address phone:** (516) 993-4724
- **Mailing address:** 52 WINTHROP ST, NEW HYDE PARK, NEW HYDE PARK, NY 11040-3145
- **Mailing address phone:** (516) 352-8197

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | F400807 | NY | Yes |

## Other

- **Enumeration date:** 04/17/2008
- **Last updated:** 04/17/2008