North Shore - Lij Pediatrics of Suffolk County, P.c.

NPI #1255722161 in Islandia, New York

Provider Information

NPI Number: 1255722161
Entity Type: Organization
Organization Name: North Shore - Lij Pediatrics of Suffolk County, P.c.
Primary Specialty: Pediatrics
Enumeration Date: Feb 13, 2015
Last Updated: Jul 26, 2022

Practice Location

Address: 1770 MOTOR PKWY
City: Islandia
State: New York
ZIP Code: 11749-5260
Phone: (516) 823-8997

Authorized Official

Name: MRS. MICHELE CUSAK
Title: CFO
Phone: (516) 465-8162

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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