# LONG ISLAND COLLEGE HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LICH PLASTIC AND RECONSTRUCTION
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205844768
- **Authorized official:** DEBORAH HACKETT VP (MANAGING EMPLOYEE)
- **Authorized official phone:** (212) 256-3421

## Contact information

- **Practice address:** 185 MONTAGUE STREET, BROOKLYN, NY 11201
- **Practice address phone:** (212) 256-3682
- **Mailing address:** 160 WATER STREET, 20FL, NEW YORK, NY 10038
- **Mailing address phone:** (212) 256-3682

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | — | NULL | Yes |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/03/2006
- **Last updated:** 11/05/2009