North Shore Lij - Medical Pc

NPI 1053688572 - Allergy & Immunology - 207K00000X

NPI Details
NPI 1053688572
Enumeration Date 11/29/2011
Last Updated 06/06/2012
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name ROBERT S ROBERT
Position SENIOR VICE PRESIDENT & CFO
Phone (516) 465-8099
Fax
Practice Location
145 COMMUNITY DRIVE
C/O LAURENCE KRAEMER
GREAT NECK NY, 11021, US
Phone (516) 465-8099
Fax
Business Location
972 BRUSH HOLLOW RD FINANCE 5TH FLOOR
ATTENTION WILLIAM J FUCHS
WESTBURY NY, 11590-1740, US
Phone (516) 876-6065
Fax (516) 876-6600
Toxanomy
Taxonomy Code 207K00000X
License State
License Number
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According to our database, North Shore Lij - Medical Pc NPI is 1053688572, taxonomy code is 207K00000X North Shore Lij - Medical Pc physically located at 145 Community Drive, Great Neck NY, 11021. NPI Number 1033115704 has the healthcare provider type.

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1053688572 NPI number is provided on an as is basis without warranty of any kind. 1053688572 is maintained by the National Plan & Provider Enumeration System. The contents of North Shore Lij - Medical Pc are for informational purposes only.