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General NPI Number Information
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NPI Number | 1750737565
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Entity Type | Organization
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Legal Business Name | LONG ISLAND JEWISH MEDICAL CENTER
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Dates
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Enumeration Date | 05/11/2016
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Last Update Date | 09/05/2018
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Provider Practice Location Address
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Address Line | 900 FRANKLIN AVE
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City | VALLEY STREAM
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State | NY
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Zip | 11580
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Country | US
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Telephone | 516-256-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 900 FRANKLIN AVE
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City | VALLEY STREAM
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State | NY
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Zip | 11580-2145
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SENIOR VP & CFO
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Name | MRS. MICHELE LEE CUSACK
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Credential |
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Telephone | 516-321-6058
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number |
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License Number State |
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