Long Island Jewish Medical Center
NPI #1093723488 in Queens Village, New York
Provider Information
- NPI Number
- 1093723488
- Entity Type
- Organization
- Organization Name
- Long Island Jewish Medical Center
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- LONG ISLAND JEWISH MEDICAL CENTER
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Aug 3, 2006
- Last Updated
- Nov 28, 2018
Practice Location
- Address
- 22022 HILLSIDE AVENUE
- City
- Queens Village
- State
- New York
- ZIP Code
- 11427-2020
- Phone
- (516) 876-6000
Authorized Official
- Name
- MRS. MICHELE LEE CUSACK
- Title
- SENIOR VICE PRESIDENT & CFO
- Phone
- (516) 321-6058
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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