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Organization
SOUTH SHORE PHYSICIANS, P.C.
Active
Organization
SOUTH SHORE PHYSICIANS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL C GAZZARA M.D. (ADMINISTRATOR)
(718) 966-3700
Entity
Organization
Contact information
Practice address
3589 HYLAN BLVD, STATEN ISLAND, NY 10308-3513
(718) 966-3700
Mailing address
3589 HYLAN BLVD, STATEN ISLAND, NY 10308-3513
(718) 966-3700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
162022
NY
Other
Enumeration date
07/03/2006
Last updated
11/05/2014
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