Organization
NORTHSHORE-LONG ISLAND JEWISH HEALTH SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIM L WHYTE (NURSE PRACTITIONER)
(516) 488-2662
Entity
Organization
Contact information
Practice address
200 COMMUNITY DR, GREAT NECK, NY 11021-5504
(516) 465-8855
(516) 465-8890
Mailing address
126 COVERT AVE, FLORAL PARK, NY 11003-1133
(516) 852-9283
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
F334779
NY
291U00000X
Clinical Medical Laboratory
F334779
NY
302R00000X
Health Maintenance Organization
F334779
NY
Other
Enumeration date
02/07/2008
Last updated
02/07/2008
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