Organization
SOUTH NASSAU CARDIOVASCULAR PRACTICE, PC
Active
Parent organization
SOUTH NASSAU COMMUNITIES HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTH NASSAU COMMUNITIES HOSPITAL
Authorized official
MARK BOGEN (VP FINANCE)
(516) 632-3965
Entity
Organization
Contact information
Practice address
1200 W BROADWAY, HEWLETT, NY 11557-1913
(516) 887-7000
Mailing address
1 HEALTHY WAY, OCEANSIDE, NY 11572-1551
(516) 632-3965
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
180648
NY
Other
Enumeration date
06/14/2011
Last updated
06/14/2011
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