Long Island Jewish Medical Center
NPI #1104990928 in New Hyde Park, New York
Provider Information
- NPI Number
- 1104990928
- Entity Type
- Organization
- Organization Name
- Long Island Jewish Medical Center
- Primary Specialty
- Community Based Residential Treatment Facility, Mental Illness
- Enumeration Date
- Nov 20, 2006
- Last Updated
- Nov 28, 2018
Practice Location
- Address
- 27005 76TH AVE
- City
- New Hyde Park
- State
- New York
- ZIP Code
- 11040-1433
- Phone
- (516) 876-6000
Authorized Official
- Name
- MRS. MICHELE LEE CUSACK
- Title
- SENIOR VICE PRESIDENT & CFO
- Phone
- (516) 876-1386
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Mental Illness |
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