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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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