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Organization

NORTH SHORE LIJ INTERNAL MEDICINE AT NEW HYDE PARK PC

Active
Other names
North Shore - LIJ Medical Group at Nassau Queens Pulmonary
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MICHELE CUSAK (CFO)
(516) 465-8162
Entity
Organization

Contact information

Practice address
3003 NEW HYDE PARK RD, SUITE 303, NEW HYDE PARK, NY 11042-1206
(516) 326-0707
(516) 326-1101
Mailing address
972 BRUSH HOLLOW RD, FINANCE 5TH FLOOR, WESTBURY, NY 11590-1740
(516) 876-6065
(516) 876-6600

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
207RP1001X
Pulmonary Disease Physician
Primary

Other

Enumeration date
06/25/2013
Last updated
07/25/2022
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