Provider Demographics
NPI:1528383056
Name:NSLIJ MANHASSETT
Entity Type:Organization
Organization Name:NSLIJ MANHASSETT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR ADVANCED PRACTICE NURSES
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:MCELLIGOTT
Authorized Official - Suffix:
Authorized Official - Credentials:DNP,ANP-BC,AHN-BC
Authorized Official - Phone:516-562-4007
Mailing Address - Street 1:262 SAINT JAMES AVE N
Mailing Address - Street 2:
Mailing Address - City:SAINT JAMES
Mailing Address - State:NY
Mailing Address - Zip Code:11780-1827
Mailing Address - Country:US
Mailing Address - Phone:631-786-7091
Mailing Address - Fax:
Practice Address - Street 1:300 COMMUNITY DR
Practice Address - Street 2:
Practice Address - City:MANHASSET
Practice Address - State:NY
Practice Address - Zip Code:11030-3816
Practice Address - Country:US
Practice Address - Phone:516-562-1624
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-27
Last Update Date:2010-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF30305162282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital