An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Cardiovascular Disease |
207RC0000X | 11 | Physician/Internal Medicine | |
Allergy & Immunology |
207K00000X | 03 | Physician/Allergy/ Immunology | |
Colon & Rectal Surgery |
208C00000X | 02 | Physician/General Surgery | |
Dermatology |
207N00000X | 07 | Physician/Dermatology | |
Emergency Medicine |
207P00000X | 93 | Physician/Emergency Medicine | |
Family Medicine |
207Q00000X | 08 | Physician/Family Practice | |
Hospitalist |
208M00000X | |||
Internal Medicine |
207R00000X | 11 | Physician/Internal Medicine | |
Neurological Surgery |
207T00000X | 02 | Physician/General Surgery | |
Nuclear Medicine |
207U00000X | 36 | Physician/Nuclear Medicine | |
Obstetrics & Gynecology |
207V00000X | 16 | Physician/Obstetrics & Gynecology | |
Ophthalmology |
207W00000X | 18 | Physician/Ophthalmology | |
Orthopaedic Surgery |
207X00000X | 02 | Physician/General Surgery | |
Otolaryngology |
207Y00000X | 04 | Physician/Otolaryngology | |
Surgical |
363AS0400X | 97 | Physician Assistant |
| NPI Number | 1215019500 |
| LBN Legal business name | NORTH SHORE LONG ISLAND JEWISH HEALTHCARE |
| Authorized official | MICHELE CUSACK - (SENIOR VICE PRESIDENT & CFO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 10/19/2006 |
| Last updated | 03/20/2025 - More than a year ago |
| Identifiers | n/a |
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