Organization
NORTHWELL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN LEONARDO (PRACTICE ADMIN MANAGER)
(516) 941-1251
Entity
Organization
Contact information
Practice address
450 LAKEVILLE RD, DEPARTMENT OF SURGICAL ONCOLOGY, NEW HYDE PARK, NY 11042-1118
(516) 487-9454
Mailing address
450 LAKEVILLE RD, DEPARTMENT OF SURGICAL ONCOLOGY, NEW HYDE PARK, NY 11042-1118
(516) 487-9454
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
240304
NY
282N00000X
General Acute Care Hospital
Primary
240304
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02912843
—
NY
Enumeration date
03/03/2016
Last updated
03/03/2016
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