Healthcare Provider Details

I. General information

NPI: 1649355058
Provider Name (Legal Business Name): NORTH SHORE UNIVERSITY HOSPITAL AT PLAINVIEW
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2006
Last Update Date: 04/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

888 OLD COUNTRY RD EMERGENCY DEPARTMENT
PLAINVIEW NY
11803-4914
US

IV. Provider business mailing address

PO BOX 30261
HARTFORD CT
06150-0261
US

V. Phone/Fax

Practice location:
  • Phone: 516-719-3000
  • Fax:
Mailing address:
  • Phone: 800-376-5566
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MR. ROBERT S SHAPIRO
Title or Position: CFO
Credential:
Phone: 516-719-3000