# NORTH SHORE LIJ OB GYN AT GARDEN CITY PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** North Shore LIJ Medical Group all about Women
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780022772
- **Authorized official:** MRS. MICHELE CUSAK (CFO)
- **Authorized official phone:** (516) 465-8162

## Contact information

- **Practice address:** 877 STEWART AVE, SUITE 7, GARDEN CITY, NY 11530-4803
- **Practice address phone:** (516) 622-2072
- **Practice address fax:** (516) 222-2854
- **Mailing address:** 972 BRUSH HOLLOW RD, FINANCE 5TH FLOOR, WESTBURY, NY 11590-1740
- **Mailing address phone:** (516) 876-6065

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 207VG0400X | Gynecology Physician | — | NULL | — |
| 207VG0400X | Gynecology Physician | — | — | — |

## Other

- **Enumeration date:** 06/12/2013
- **Last updated:** 07/26/2022