Organization
NORTH SHORE LIJ OB GYN AT GARDEN CITY PC
Active
Other names
North Shore LIJ Medical Group all about Women
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELE CUSAK (CFO)
(516) 465-8162
Entity
Organization
Contact information
Practice address
877 STEWART AVE, SUITE 7, GARDEN CITY, NY 11530-4803
(516) 622-2072
(516) 222-2854
Mailing address
972 BRUSH HOLLOW RD, FINANCE 5TH FLOOR, WESTBURY, NY 11590-1740
(516) 876-6065
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
207VG0400X
Gynecology Physician
—
—
Other
Enumeration date
06/12/2013
Last updated
07/26/2022
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