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Organization

NORTH SHORE LONG ISLAND JEWISH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRUCE LEVY (RESIDENCY DIRECTOR)
(718) 470-4125
Entity
Organization

Contact information

Practice address
125 COMMUNITY DR, GREAT NECK, NY 11021-5502
(516) 465-3192
Mailing address
166 E 34TH ST, NEW YORK, NY 10016-4767
(917) 757-0594

Taxonomy

Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary

Other

Enumeration date
05/01/2012
Last updated
05/01/2012
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