Provider Demographics
NPI:1699958983
Name:NORTH SHORE LONG ISLAND JEWISH HEALTH SYSTEM
Entity type:Organization
Organization Name:NORTH SHORE LONG ISLAND JEWISH HEALTH SYSTEM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ANP
Authorized Official - Prefix:MRS
Authorized Official - First Name:BEENA
Authorized Official - Middle Name:P
Authorized Official - Last Name:KUMAR
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:516-385-4156
Mailing Address - Street 1:43 DAIL ST
Mailing Address - Street 2:
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040-2434
Mailing Address - Country:US
Mailing Address - Phone:516-385-4156
Mailing Address - Fax:516-385-4156
Practice Address - Street 1:27005 76TH AVE
Practice Address - Street 2:
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11040-1433
Practice Address - Country:US
Practice Address - Phone:516-734-8008
Practice Address - Fax:516-734-8005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-10
Last Update Date:2007-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF304779282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access