Organization
PHELPS MEMORIAL HOSPITAL ASSOCIATION
Active
Other names
Rehabilitation Sub Provider Hospital
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
701 N BROADWAY, SLEEPY HOLLOW, NY 10591-1020
(914) 366-1004
(914) 366-1522
Mailing address
972 BRUSH HOLLOW RD FL 5, WESTBURY, NY 11590-1740
(516) 846-6065
(516) 876-5572
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33-T261
MEDICARE SUB PROVIDER
—
Enumeration date
06/26/2008
Last updated
07/31/2025
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