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

North Shore - Lij Cardiology at Deer Park PC

Organization Cardiovascular Disease Physician · NPI 1972941953

North Shore - Lij Cardiology at Deer Park PC is a Cardiovascular Disease Physician in Deer Park, New York. Registered with an NPI since 2013.

In the registry since
2013
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1630 Deer Park Ave
Deer Park, NY 11729-5210
Phone: (631) 242-6166
Fax: (631) 242-0728
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X
Nuclear Cardiology Physician Taxonomy 207UN0901X

Record details

NPI number1972941953
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michele Cusak — Cfo · (516) 465-8162
Other names North Shore - Lij Medical Group / Long Island Cardiovascular; North Shore - Lij Medical Group / Long Island Cardiovascular
NPI enumeratedJune 12, 2013
Last updated in NPPESJuly 26, 2022
Certification dateJuly 26, 2022
Mailing address972 Brush Hollow Rd, Finance 5th Floor, Westbury, NY 11590-1740

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