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Organization
LONG ISLAND JEWISH MEDICAL CENTER
Active
Organization
LONG ISLAND JEWISH MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL DWYER (ASSOCIATE EXECUTIVE DIRECTOR)
(718) 470-3521
Entity
Organization
Contact information
Practice address
7559 263RD STREET @ 74TH AVENUE, GLEN OAKS, NY 11004-1050
(718) 470-4834
Mailing address
7559 263RD ST, GLEN OAKS, NY 11004-1150
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
NULL
282N00000X
General Acute Care Hospital
—
NULL
282NC2000X
Children's Hospital
—
NULL
Other
Enumeration date
01/30/2015
Last updated
01/30/2015
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