# MEDICAL SERVICES OF UNIONDALE, PC

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

## Provider details

- **NPI number:** 1457963241
- **Authorized official:** MRS. MICHELE L CUSACK (SENIOR VICE PRESIDENT & CFO)
- **Authorized official phone:** (516) 321-6058

## Contact information

- **Practice address:** 106 CHARLES LINDBERGH BLVD STE B, UNIONDALE, NY 11553-3632
- **Practice address phone:** (516) 248-3737
- **Practice address fax:** (866) 540-1163
- **Mailing address:** 106 CHARLES LINDBERGH BLVD STE B, UNIONDALE, NY 11553-3632
- **Mailing address phone:** (516) 248-3737
- **Mailing address fax:** (866) 540-1163

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | — | NULL | Yes |
| 207RG0100X | Gastroenterology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/21/2020
- **Last updated:** 07/08/2022