# NORTH SHORE-LIJ HEALTH PLAN

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NORTH SHORE-LIJ HEALTH PLAN HOLDING COMPANY
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1619316718
- **Legal business name:** NORTH SHORE-LIJ HEALTH PLAN HOLDING COMPANY
- **Authorized official:** ROBERT BROWN (VICE PRESIDENT OF MANAGED CARE)
- **Authorized official phone:** (516) 465-8106

## Contact information

- **Practice address:** 145 COMMUNITY DR, GREAT NECK, NY 11021-5502
- **Practice address phone:** (516) 465-8106
- **Mailing address:** 145 COMMUNITY DR, GREAT NECK, NY 11021-5502

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | — | NY | Yes |

## Other

- **Enumeration date:** 06/21/2013
- **Last updated:** 07/01/2013