Provider Demographics
NPI:1477706182
Name:LONG ISLAND JEWISH HEALTH SYSTEM
Entity Type:Organization
Organization Name:LONG ISLAND JEWISH HEALTH SYSTEM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED NURSE MIDWIFE
Authorized Official - Prefix:MS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:RUMPLICK
Authorized Official - Suffix:
Authorized Official - Credentials:CNM NP OB/GYN
Authorized Official - Phone:516-465-8855
Mailing Address - Street 1:16 MAPLE WING DR
Mailing Address - Street 2:
Mailing Address - City:CENTRAL ISLIP
Mailing Address - State:NY
Mailing Address - Zip Code:11722-4600
Mailing Address - Country:US
Mailing Address - Phone:631-297-8499
Mailing Address - Fax:
Practice Address - Street 1:200 COMMUNITY DR
Practice Address - Street 2:
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-5504
Practice Address - Country:US
Practice Address - Phone:718-470-7000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-24
Last Update Date:2008-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF001052-1282N00000X
NYF360447-1282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital