NPI 1275541104
Southside Hospital
Practice location
- Address
- 301 E Main St, Bay Shore, NY 11706-8408
- Phone
- (516) 876-6065
- Fax
- (516) 876-5572
- Mailing address
- 972 Brush Hollow Rd Fl 5, Westbury, NY 11590-1740
Authorised official
- Name
- Michele Lee Cusack
- Title
- Senior Vice President & Cfo
- Phone
- (516) 321-6058
Registered specialties
Rehabilitation Hospital Unit
Primary
Registry record
- NPI
- 1275541104
- Entity type
- Organization
- NPI issued
- 4 Aug 2006
- Record last updated
- 7 Aug 2025
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.