Organization
PHYSICIANS OF UNIVERSITY HOSPITAL, PC
Active
Other names
Southside Cardiac Anesthesia Group
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELE LEE CUSACK (SENIOR VICE PRESIDENT & CFO)
(516) 321-6058
Entity
Organization
Contact information
Practice address
301 E MAIN ST, BAY SHORE, NY 11706-8408
(631) 968-3163
(631) 968-3175
Mailing address
301 E MAIN ST, BAY SHORE, NY 11706-8408
(631) 968-3163
(631) 968-3175
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
03/29/2018
Last updated
03/29/2018
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