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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