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Organization

NORTH SHORE - LIJ MEDICAL PC

Active
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Organization

NORTH SHORE - LIJ MEDICAL PC

Active
Other names
NSLIJ Medical In Queens
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROBERT S SHAPIRO (SR VP &CFO)
(516) 465-8182
Entity
Organization

Contact information

Practice address
270-05 76TH AVE, NEW HYDE PARK, NY 11040
(516) 465-8089
(516) 465-8013
Mailing address
972 BRUSH HOLLOW RD, WESTBURY, NY 11590-1740

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—

Other

Enumeration date
05/01/2012
Last updated
06/06/2012
About Stedi
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