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

North Shore Lij Medical Group at North Nassau, PC

Organization Cardiovascular Disease Physician · NPI 1700175270

North Shore Lij Medical Group at North Nassau, PC is a Cardiovascular Disease Physician in Glen Cove, New York. Registered with an NPI since 2011.

In the registry since
2011
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

70 Glen St Ste 200
Glen Cove, NY 11542-2855
Phone: (516) 484-7893
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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

Record details

NPI number1700175270
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michele Cusak — Cfo · (516) 465-8182
NPI enumeratedApril 5, 2011
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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