Long Island Jewish Community Residents Program

LBN: Long Island Jewish Medical Center
Long Island Jewish Community Residents Program is an health care organization with primary practice located at 27005 76Th Ave , New Hyde Park NY 11040-1433. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty. Long Island Jewish Medical Center can be contacted via phone (516) 876-6000, or through Cusack, Michele Lee via phone (516) 876-1386.

Contact Information

Primary practice address
27005 76Th Ave New Hyde Park NY 11040-1433
Phone: (516) 876-6000
Fax: (516) 876-6600
Website:
Map and Directions
Authorized official contact:
Name: Cusack, Michele Lee
Phone: (516) 876-1386

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X

Profile Details

NPI number 1104990928
LBN Legal business name Long Island Jewish Medical Center
DBA Doing business as Long Island Jewish Community Residents Program
Authorized official Cusack, Michele Lee
Entity Organization
Organization subpart 1 No
Enumeration date Nov 20th, 2006
Last updated Nov 28th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104990928 NPPES
New York MEDICAID 1321493

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