Long Island Jewish Medical Center

NPI #1467842393 in Glen Oaks, New York

Provider Information

NPI Number: 1467842393
Entity Type: Organization
Organization Name: Long Island Jewish Medical Center
Primary Specialty: Clinic/Center - Adolescent and Children Mental Health
Enumeration Date: Jan 30, 2015
Last Updated: Jan 30, 2015

Practice Location

Address: 7559 263RD STREET @ 74TH AVENUE
City: Glen Oaks
State: New York
ZIP Code: 11004-1050
Phone: (718) 470-4834

Authorized Official

Name: DR. MICHAEL DWYER
Title: ASSOCIATE EXECUTIVE DIRECTOR
Phone: (718) 470-3521

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Acute Care Hospital	282N00000X
General Acute Care Hospital - Children — Children	282NC2000X
Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health	261QM0855X	Primary

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