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Organization
NORTH SHORE LIJ HEALTH SYSTEM
Active
Organization
NORTH SHORE LIJ HEALTH SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN BLAIR NILES MS, FNP-C (NP)
(516) 547-4930
Entity
Organization
Contact information
Practice address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
(718) 470-7000
Mailing address
221 SPORTSMANS AVE, FREEPORT, NY 11520-5635
(516) 547-4930
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
F3382311
NY
Other
Enumeration date
03/03/2014
Last updated
03/03/2014
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