# SOUTH SHORE THORACIC & CARDIOVASCULAR SURGICAL GROUP PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275671604
- **Authorized official:** DR. ALVIN J SLOVIN MD (PRES)
- **Authorized official phone:** (718) 734-2300

## Contact information

- **Practice address:** 5115 BEACH CHANNEL DR, SUITE 418, FAR ROCKAWAY, NY 11691
- **Practice address phone:** (718) 734-2300
- **Practice address fax:** (718) 734-2430
- **Mailing address:** 5115 BEACH CHANNEL DRIVE, SUITE 418, FAR ROCKAWAY, NY 11691
- **Mailing address phone:** (718) 734-2300
- **Mailing address fax:** (718) 734-2430

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/01/2007
- **Last updated:** 08/22/2020