Organization
NORTHSHORE LIJ HEALTH SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA WAYTHE (PROGRAM COORDINATOR)
(718) 470-4475
Entity
Organization
Contact information
Practice address
302 COMMUNITY DR, MANHASSET, NY 11030-3804
(917) 530-8380
Mailing address
302 COMMUNITY DR, MANHASSET, NY 11030-3804
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
08/05/2015
Last updated
08/05/2015
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