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Organization
NORTH SHORE - LIJ INTERNAL MEDICINE AT LYNBROOK PC
Active
Organization
NORTH SHORE - LIJ INTERNAL MEDICINE AT LYNBROOK PC
Active
Other names
North Shore - LIJ Medical Group South Shore Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELE CUSAK (CFO)
(516) 562-8182
Entity
Organization
Contact information
Practice address
158 HEMPSTEAD AVE, LYNBROOK, NY 11563-1605
(516) 593-3541
(516) 599-8307
Mailing address
972 BRUSH HOLLOW RD, FINANCE 5TH FLOOR, WESTBURY, NY 11590-1740
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
Other
Enumeration date
09/16/2013
Last updated
07/25/2022
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