Organization
NORTH SHORE - LIJ PEDIATRICS OF SUFFOLK COUNTY, P.C.
Active
Organization
NORTH SHORE - LIJ PEDIATRICS OF SUFFOLK COUNTY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELE CUSAK (CFO)
(516) 465-8162
Entity
Organization
Contact information
Practice address
1770 MOTOR PKWY, ISLANDIA, NY 11749-5260
(516) 823-8997
Mailing address
600 COMMUNITY DR, MANHASSET, NY 11030-3802
(516) 823-8997
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
02/13/2015
Last updated
07/26/2022
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