NORTH SHORE-LIJ MEDICAL GROUP AT HUNTINGTON PC NPI 1174147979

NPI Information

NPI: 1174147979
Provider Name: NORTH SHORE-LIJ MEDICAL GROUP AT HUNTINGTON PC
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
2001 MARCUS AVE STE S50
NEW HYDE PARK, NY
ZIP 11042
Phone: (516) 328-9800
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NORTH SHORE-LIJ MEDICAL GROUP AT HUNTINGTON PC is a vascular surgery surgery in New Hyde Park, NY. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. NORTH SHORE-LIJ MEDICAL GROUP AT HUNTINGTON PC NPI is 1174147979. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2001 MARCUS AVE STE S50
NEW HYDE PARK, NY
ZIP 11042-039
Phone: (516) 328-9800
Fax: (516) 328-9801

The provider's authorized official is Michele L 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 6/8/2020 and was last updated on 7/8/2022.

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	208600000X	Surgery				No
2	2086S0129X	Surgery	Vascular Surgery			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

NPI Synchronization or Removal

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