Organization
NORTH SHORE-LIJ OCCUPATIONAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACQUELINE MOLINE MD (VICE PRESIDENT)
(516) 492-3297
Entity
Organization
Contact information
Practice address
225 COMMUNITY DR STE 150, GREAT NECK, NY 11021-5500
(516) 492-3297
Mailing address
225 COMMUNITY DR STE 150, GREAT NECK, NY 11021-5500
(516) 492-3297
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
12/01/2023
Last updated
12/01/2023
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