Organization
NORTH SHORE - LIJ MEDICAL GROUP AT SYOSSET PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELE CUSAK (CFO)
(516) 465-8182
Entity
Organization
Contact information
Practice address
8 GREENFIELD RD, SYOSSET, NY 11791-4831
(516) 465-8162
Mailing address
600 COMMUNITY DR, MANHASSET, NY 11030-3802
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
01/19/2011
Last updated
07/26/2022
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