Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Medical Services of Kips Bay PC

Organization Addiction Medicine (Internal Medicine) Physician · NPI 1669075651

Medical Services of Kips Bay PC is an Addiction Medicine (Internal Medicine) Physician in Great Neck, New York. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
5
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

170 Great Neck Rd
Great Neck, NY 11021-3357
Phone: (516) 487-4464
Fax: (516) 487-4980
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X
Addiction Medicine (Internal Medicine) Physician Taxonomy 207RA0401X
Cardiovascular Disease Physician Taxonomy 207RC0000X
Interventional Cardiology Physician Taxonomy 207RI0011X
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1669075651
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michele Cusack — Senior Vice President & Cfo · (516) 321-6058
NPI enumeratedNovember 20, 2020
Last updated in NPPESOctober 6, 2022
Certification dateOctober 6, 2022
Mailing address325 E Main St, Patchogue, NY 11772-3114