Whalio Doctors

NPI 1104990928

Long Island Jewish Medical Center

Organisation Mental Illness Community Based Residential Treatment Facility New Hyde Park, NY

Practice location

Address
27005 76th Ave, New Hyde Park, NY 11040-1433
Phone
(516) 876-6000
Fax
(516) 876-6600
Mailing address
972 Brush Hollow Rd, Westbury, NY 11590-1740

Authorised official

Name
Michele Lee Cusack
Title
Senior Vice President & Cfo
Phone
(516) 876-1386

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320800000X

Registry record

NPI
1104990928
Entity type
Organization
NPI issued
20 Nov 2006
Record last updated
28 Nov 2018

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.