Organization
LONG ISLAND JEWISH MEDICAL CENTER
Active
Other names
Northwell Health - Behavioral Health Service Line
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT S SHAPIRO (EXEC. VICE PRESIDENT AND CFO)
(516) 321-6025
Entity
Organization
Contact information
Practice address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
(516) 465-8089
Mailing address
972 BRUSH HOLLOW RD, 5TH FLOOR, WESTBURY, NY 11590-1740
(516) 876-6065
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
01/04/2017
Last updated
03/29/2017
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