Organization
SOUTH NASSAU COMMUNITIES HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK BOGEN (VICE-PRESIDENT)
(516) 632-3000
Entity
Organization
Contact information
Practice address
ONE HEALTHY WAY, ATTN: PHYSICIAN BILLING, OCEANSIDE, NY 11572
(516) 255-1616
Mailing address
ONE HEALTHY WAY, ATTN: PHYSICIAN BILLING, OCEANSIDE, NY 11572
(516) 255-1616
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
11/09/2005
Last updated
05/21/2013
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