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Organization

NORTH SHORE -LIJ OB-GYN AT NEW HYDE PARK, P.C.

Active
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 407, NEW HYDE PARK, NY 11042-1206
(516) 823-8110
Mailing address
3003 NEW HYDE PARK RD, NEW HYDE PARK, NY 11042-1206

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary

Other

Enumeration date
04/21/2015
Last updated
07/26/2022
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