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Organization

LONG ISLAND JEWISH MEDICAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MICHELE L. CUSACK (SENIOR VICE PRESIDENT & CFO)
(516) 321-6058
Entity
Organization

Contact information

Practice address
270-05 76 AVE, NEW HYDE PARK, NY 11040
(516) 876-6000
(516) 876-6600
Mailing address
972 BRUSH HOLLOW RD FL 5, WESTBURY, NY 11590-1740
(516) 876-6000
(516) 876-6600

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
7003004H
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
330195
MEDICARE CCN
NY
Enumeration date
08/01/2006
Last updated
07/29/2025
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