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

North Shore Lij Physicians Group PC

Organization Internal Medicine Physician · NPI 1073818308

North Shore Lij Physicians Group PC is an Internal Medicine Physician in Great Neck, 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

145 Community Dr
Great Neck, NY 11021-5502
Phone: (516) 465-8182
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1073818308
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michele Cusack — Evp & Cfo · (516) 321-6058
NPI enumeratedJanuary 18, 2011
Last updated in NPPESMarch 20, 2025
Certification dateMarch 20, 2025
Mailing address145 Community Dr, Great Neck, NY 11021-5502

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