# LONG ISLAND JEWISH MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LIJ Transitions
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891861787
- **Authorized official:** MRS. MICHELE LEE CUSACK (SENIOR VICE PRESIDENT & CFO)
- **Authorized official phone:** (516) 321-6058

## Contact information

- **Practice address:** 27005 76TH AVE, NEW HYDE PARK, NY 11040-1433
- **Practice address phone:** (516) 876-6000
- **Practice address fax:** (516) 876-6600
- **Mailing address:** 972 BRUSH HOLLOW ROAD, 5TH FLOOR FINANCE, WESTBURY, NY 11590
- **Mailing address phone:** (516) 876-6000
- **Mailing address fax:** (516) 876-6600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320700000X | Physical Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 11/24/2006
- **Last updated:** 11/28/2018