Organization
NORTHWELL LONG ISLAND JEWISH HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN ROTH (ORAL PATHOLOGY RESIDENT)
(330) 328-4827
Entity
Organization
Contact information
Practice address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
(718) 470-7000
Mailing address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
02/15/2017
Last updated
02/15/2017
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