Organization
LONG ISLAND JEWISH MEDICAL CENTER
Active
Other names
Long Island Jewish ESRD, Renal Dialysis Unit
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELE LEE CUSACK (SENIOR VICE PRESIDENT & CFO)
(516) 321-6058
Entity
Organization
Contact information
Practice address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1433
(516) 876-6000
(516) 876-6600
Mailing address
972 BRUSH HOLLOW RD, 5TH FLOOR FINANCE ATTN: WILLIAM J FUCHS, WESTBURY, NY 11590-1740
(516) 876-6065
(516) 876-5572
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
10/06/2006
Last updated
03/23/2020
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