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Organization
LONG ISLAND JEWISH MEDICAL CENTER
Active
Organization
LONG ISLAND JEWISH MEDICAL CENTER
Active
Other names
Opioid Treatment Program
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELE L CUSACK (SENIOR VICE PRESIDENT & CFO)
(516) 321-6058
Entity
Organization
Contact information
Practice address
7559 263RD ST, GLEN OAKS, NY 11004-1150
(718) 470-8940
Mailing address
7559 263RD ST, GLEN OAKS, NY 11004-1150
(718) 470-8940
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
—
—
Other
Enumeration date
02/04/2021
Last updated
07/29/2025
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