Organization
NORH SHORE LIJ- ZUCKER HILLSIDE HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANE C RANDELL MSN,NPP,CPNP (NURSE PRACTITIONER)
(718) 470-3500
Entity
Organization
Contact information
Practice address
444 COMMUNITY DR, MANHASSET, MANHASSET, NY 11030-3820
(516) 993-4724
Mailing address
52 WINTHROP ST, NEW HYDE PARK, NEW HYDE PARK, NY 11040-3145
(516) 352-8197
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
F400807
NY
Other
Enumeration date
04/17/2008
Last updated
04/17/2008
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