Organization
SOUTH NASSAU PHYSICIAN GROUP PC
Active
Parent organization
SOUTH NASSAU COMMUNITIES HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTH NASSAU COMMUNITIES HOSPITAL
Authorized official
MARK BOGEN (CFO)
(516) 632-3965
Entity
Organization
Contact information
Practice address
1 HEALTHY WAY, OCEANSIDE, NY 11572-1551
(516) 632-3000
Mailing address
1 HEALTHY WAY, PHYSICIAN BILLING, OCEANSIDE, NY 11572-1551
(516) 255-1616
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
03/23/2016
Last updated
03/03/2017
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