Basic Information
| Provider Information | |||||||||
| NPI: | 1881838209 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | LIJ/NS HEALTH SYSTEM | ||||||||
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| Mailing Information | |||||||||
| Address1: | 279 N STAR RD | ||||||||
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| City: | NEWARK | ||||||||
| State: | DE | ||||||||
| PostalCode: | 197112473 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3029837420 | ||||||||
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| Practice Location | |||||||||
| Address1: | 7559 263RD ST | ||||||||
| Address2: | |||||||||
| City: | GLEN OAKS | ||||||||
| State: | NY | ||||||||
| PostalCode: | 110041150 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7184704834 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/29/2009 | ||||||||
| LastUpdateDate: | 04/29/2009 | ||||||||
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| AuthorizedOfficialLastName: | GAHUNIA | ||||||||
| AuthorizedOfficialFirstName: | HARVANIT | ||||||||
| AuthorizedOfficialMiddleName: | KAUR | ||||||||
| AuthorizedOfficialTitleorPosition: | CHILD AND ADOLSCENT PSYCHIATRY | ||||||||
| AuthorizedOfficialTelephone: | 7184703550 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282N00000X | 252833 | NY | Y | Hospitals | General Acute Care Hospital |
No ID Information.