| NPI | 1669762258 |
|---|---|
| Former Legal Business Name | NORTH SHORE-LIJ CARDIOVASCULAR MEDICINE PC |
| Entity Type | Organization |
| Authorized Contact | MICHELE L CUSACK Sr VP & CFO 516-321-6058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2011-04-15 |
| Last Update Date | 2022-12-06 |