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Organization

NY LONG-TERM CARE PHYSICIAN SERVICES, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JILL FORD (DIRECTOR/AUTHORIZED OFFICIAL)
(859) 291-4800
Entity
Organization

Contact information

Practice address
755 HEMPSTEAD TPKE, UNIONDALE, NY 11553-1111
(516) 565-1900
Mailing address
PO BOX 639676, CINCINNATI, OH 45263-9676
(859) 291-4800

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary

Other

Enumeration date
06/15/2021
Last updated
02/25/2026
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