Organization
SOUTH NASSAU COMMUNITIES HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX BALKO (DIRECTOR-FINANCE)
(516) 632-3681
Entity
Organization
Contact information
Practice address
1 HEALTHY WAY, ATTN: PHYSICIAN BILLING, OCEANSIDE, NY 11572-1551
(516) 255-1600
(516) 255-4672
Mailing address
1 HEALTHY WAY, ATTN: PHYSICIAN BILLING, OCEANSIDE, NY 11572-1551
(516) 255-1600
(516) 255-4672
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
214473
NY
207RI0011X
Interventional Cardiology Physician
204027
NY
207RP1001X
Pulmonary Disease Physician
112253
NY
207UN0901X
Nuclear Cardiology Physician
201704
NY
2086S0102X
Surgical Critical Care Physician
158539
NY
2086S0127X
Trauma Surgery Physician
242239
NY
208M00000X
Hospitalist Physician
Primary
218259
NY
363AS0400X
Surgical Physician Assistant
003479
NY
Other
Enumeration date
11/10/2005
Last updated
10/03/2008
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