NPI 1003409061

North Shore Health System Medical Faculty Group Practice INC

Organisation Hematology & Oncology Physician New Hyde Park, NY

Practice location

Address: 450 Lakeville Rd, New Hyde Park, NY 11042-1118
Phone: (516) 734-8900
Fax: (516) 734-8934

Authorised official

Name: Michele L Cusack
Title: Senior Vice President & Cfo
Phone: (516) 321-6058

Registered specialties

Hematology & Oncology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207RH0003X

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Registry record

NPI: 1003409061
Entity type: Organization
NPI issued: 19 Feb 2021
Record last updated: 19 Feb 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.