Organization
NORTH SHORE - LIJ RADIOLOGY SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELE CUSAK (CFO)
(516) 829-4414
Entity
Organization
Contact information
Practice address
935 NORTHERN BLVD, SUITE 200, GREAT NECK, NY 11021-5316
(516) 829-4414
(516) 829-7754
Mailing address
935 NORTHERN BLVD, SUITE 200, GREAT NECK, NY 11021-5316
(516) 829-4414
(516) 829-7754
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
04/07/2008
Last updated
07/25/2022
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