Organization
PROJEACT OUTREACH
Active
Organization
PROJEACT OUTREACH
Active
Parent organization
N. SHORE/LIJ HEALTH SYSTEMS
Organization subpart
Yes
Provider details
NPI number
Legal business name
N. SHORE/LIJ HEALTH SYSTEMS
Authorized official
MR. BRUCE GOLDMAN (PROGRAM DIRECTOR)
(516) 481-2890
Entity
Organization
Contact information
Practice address
600 HEMPSTEAD TPKE, W HEMPSTEAD, NY 11552-1095
(516) 481-2890
Mailing address
600 HEMPSTEAD TPKE, W HEMPSTEAD, NY 11552-1095
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
RO50300-1
NY
Other
Enumeration date
11/01/2007
Last updated
12/04/2007
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