Organization
NORTH SHORE LONG ISLAND JEWISH HEALTHCARE INC.
Active
Other names
Island Gynecologic Oncology
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT S SHAPIRO (EXECUTIVE VP & CFO)
(516) 465-8162
Entity
Organization
Contact information
Practice address
404 POTTER BLVD, BRIGHTWATERS, NY 11718-1830
(631) 376-0055
Mailing address
404 POTTER BLVD, BRIGHTWATERS, NY 11718-1830
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
—
—
Other
Enumeration date
02/03/2016
Last updated
02/23/2016
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