# MEDICAL SERVICES OF BELLMORE PC

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

## Provider details

- **NPI number:** 1588393656
- **Authorized official:** MR. MICHELE L CUSACK (SENIOR VICE PRESIDENT & CFO)
- **Authorized official phone:** (516) 321-6058

## Contact information

- **Practice address:** 27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
- **Practice address phone:** (718) 470-4400
- **Mailing address:** 27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
- **Mailing address phone:** (718) 470-4400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | NULL | — |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 06/06/2022
- **Last updated:** 06/06/2022