Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

North Shore Long Island Jewish Healthcare Inc

Organization Gynecologic Oncology Physician · NPI 1710345962

North Shore Long Island Jewish Healthcare Inc provides Gynecologic Oncology Physician services in Brightwaters, New York. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

404 Potter Blvd
Brightwaters, NY 11718-1830 Not confirmed with CMS for 10 years — call before visiting
Phone: (631) 376-0055
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gynecologic Oncology Physician (primary) Taxonomy 207VX0201X

Record details

NPI number1710345962
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Shapiro — Executive Vp & Cfo · (516) 465-8162
Other names Island Gynecologic Oncology
NPI enumeratedFebruary 3, 2016
Last updated in NPPESFebruary 23, 2016
Mailing address404 Potter Blvd, Brightwaters, NY 11718-1830

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