LONG ISLAND JEWISH MEDICAL CENTER NPI 1093723488

NPI Information

NPI: 1093723488
Provider Name: LONG ISLAND JEWISH MEDICAL CENTER

Other Name: END STAGE RENAL DIALYSIS FACILITY

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
22022 HILLSIDE AVENUE
QUEENS VILLAGE, NY
ZIP 11427
Phone: (516) 876-6000
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LONG ISLAND JEWISH MEDICAL CENTER is an end-stage renal disease (esrd) treatment clinic center in Queens Village, NY. LONG ISLAND JEWISH MEDICAL CENTER NPI is 1093723488. The provider is registered as an organization entity type.
The provider Other Name Is End Stage Renal Dialysis Facility.

The provider's business location address is:

22022 HILLSIDE AVENUE
QUEENS VILLAGE, NY
ZIP 11427-020
Phone: (516) 876-6000
Fax: (516) 876-6600

The provider's authorized official is Michele Lee Cusack .
The authorized official title is Senior Vice President & Cfo and has the following contact phone number (516) 321-6058.

The enumeration date for this NPI number is 8/3/2006 and was last updated on 11/28/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment	7003004H	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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