| NPI | 1942666557 |
|---|---|
| Doing Business As | NORTH SHORE UNIVERSITY HOSPITAL INDEPENDENCE AT HOME DEMONSTRATION |
| Entity Type | Organization |
| Authorized Contact | MICHELE CUSAK CFO 516-321-6025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine | |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2022-07-25 |