NPI 1003419557
Medical Services of Kips Bay PC
Practice location
- Address
- 410 Lakeville Rd STE 303, New Hyde Park, NY 11042-1104
- Phone
- (516) 321-7555
- Fax
- (516) 321-7831
- Mailing address
- 2000 Marcus Ave, New Hyde Park, NY 11042-1069
Authorised official
- Name
- Michele L Cusack
- Title
- Senior Vice President & Cfo
- Phone
- (516) 321-6058
Registered specialties (3)
Orthopaedic Surgery Physician
Primary
Physical Medicine & Rehabilitation Physician
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Registry record
- NPI
- 1003419557
- Entity type
- Organization
- NPI issued
- 18 Nov 2020
- Record last updated
- 18 Nov 2020
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.