Organization
NORTH SHORE - LIJ CARDIOLOGY AT DEER PARK PC
Active
Other names
North Shore - LIJ Medical Group / Long Island Cardiovascular
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELE CUSAK (CFO)
(516) 465-8162
Entity
Organization
Contact information
Practice address
1630 DEER PARK AVE, DEER PARK, NY 11729-5210
(631) 242-6166
(631) 242-0728
Mailing address
972 BRUSH HOLLOW RD, FINANCE 5TH FLOOR, WESTBURY, NY 11590-1740
(516) 876-6065
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207UN0901X
Nuclear Cardiology Physician
—
—
Other
Enumeration date
06/12/2013
Last updated
07/26/2022
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