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Organization
NORTH SHORE MEDICAL GROUP OF THE MOUNT SINAI SCHOOL OF MEDICINE
Active
Organization
NORTH SHORE MEDICAL GROUP OF THE MOUNT SINAI SCHOOL OF MEDICINE
Active
Other names
North Shore Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
JANET STREET (PRACTICE ADMINISTRATOR)
(631) 351-3703
Entity
Organization
Contact information
Practice address
66 COMMACK RD, COMMACK, NY 11725-3405
(631) 881-7600
(631) 881-7697
Mailing address
66 COMMACK RD, COMMACK, NY 11725-3405
(631) 881-7600
(631) 881-7697
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RN0300X
Nephrology Physician
—
—
207VG0400X
Gynecology Physician
—
—
207VX0000X
Obstetrics Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208600000X
Surgery Physician
—
—
213E00000X
Podiatrist
—
—
Other
Enumeration date
05/25/2007
Last updated
10/06/2015
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