Basic Information
Provider Information
NPI: 1083621130
EntityType: 2
ReplacementNPI:  
OrganizationName: PLAINVIEW HOSPITAL
LastName:  
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Mailing Information
Address1: 972 BRUSH HOLLOW RD
Address2: 5TH FLOOR FINANCE ATTN: WILLIAM J. FUCHS
City: WESTBURY
State: NY
PostalCode: 115901740
CountryCode: US
TelephoneNumber: 5168766000
FaxNumber: 5168766600
Practice Location
Address1: 888 OLD COUNTRY RD
Address2:  
City: PLAINVIEW
State: NY
PostalCode: 118034914
CountryCode: US
TelephoneNumber: 5167193000
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/02/2006
LastUpdateDate: 10/06/2020
NPIDeactivationReasonCode:  
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AuthorizedOfficialLastName: CUSACK
AuthorizedOfficialFirstName: MICHELE
AuthorizedOfficialMiddleName: LEE
AuthorizedOfficialTitleorPosition: SENIOR VICE PRESIDENT & CFO
AuthorizedOfficialTelephone: 5163216058
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: MRS.
AuthorizedOfficialNameSuffix:  
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NPICertificationDate: 10/06/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
282N00000X2952002HNYY HospitalsGeneral Acute Care Hospital 

No ID Information.


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