Organization
LONG ISLAND JEWISH MEDICAL CENTER
Active
Other names
LONG ISLAND JEWISH MEDICAL CENTER HOMECARE
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELE L CUSACK (SENIOR VICE PRESIDENT & CFO)
(516) 321-6058
Entity
Organization
Contact information
Practice address
1983 MARCUS AVE, NEW HYDE PARK, NY 11042
(516) 326-6500
(516) 326-9282
Mailing address
1983 MARCUS AVE, NEW HYDE PARK, NY 11042-2000
(516) 326-6500
(516) 326-9282
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
7003608
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000223
EMPIRE BCBS
NY
05
—
00243903
—
NY
01
—
0502850
AETNA
—
01
—
337170
HORIZON HEALTHCARE
—
01
—
99343
PRUCARE
—
01
—
ANC1425
OXFORD
—
01
—
IC0905
HEALTHNET
—
01
—
ON05439
MDNY
—
Enumeration date
02/07/2006
Last updated
05/21/2018
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