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Organization

LONG ISLAND JEWISH MEDICAL CENTER

Active
Other names
LIJ Transitions
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MICHELE LEE CUSACK (SENIOR VICE PRESIDENT & CFO)
(516) 321-6058
Entity
Organization

Contact information

Practice address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1433
(516) 876-6000
(516) 876-6600
Mailing address
972 BRUSH HOLLOW ROAD, 5TH FLOOR FINANCE, WESTBURY, NY 11590
(516) 876-6000
(516) 876-6600

Taxonomy

Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1927311
NY
Enumeration date
11/24/2006
Last updated
11/28/2018
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