Organization
NORTH SHORE LIJ OB GYN PC
Active
Organization
NORTH SHORE LIJ OB GYN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELE CUSAK (CFO)
(516) 465-8182
Entity
Organization
Contact information
Practice address
3001 EXPRESSWAY DR N, ISLANDIA, NY 11749-5301
(631) 292-6747
(516) 876-6600
Mailing address
972 BRUSH HOLLOW RD, WESTBURY, NY 11590-1740
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
—
—
Other
Enumeration date
11/27/2012
Last updated
07/25/2022
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