Provider Demographics
NPI:1881838209
Name:LIJ/NS HEALTH SYSTEM
Entity Type:Organization
Organization Name:LIJ/NS HEALTH SYSTEM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHILD AND ADOLSCENT PSYCHIATRY
Authorized Official - Prefix:DR
Authorized Official - First Name:HARVANIT
Authorized Official - Middle Name:KAUR
Authorized Official - Last Name:GAHUNIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-470-3550
Mailing Address - Street 1:279 N STAR RD
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19711-2473
Mailing Address - Country:US
Mailing Address - Phone:302-983-7420
Mailing Address - Fax:
Practice Address - Street 1:7559 263RD ST
Practice Address - Street 2:
Practice Address - City:GLEN OAKS
Practice Address - State:NY
Practice Address - Zip Code:11004-1150
Practice Address - Country:US
Practice Address - Phone:718-470-4834
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-29
Last Update Date:2009-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY252833282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital