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Organization
SOUTH SHORE FAMILY PRACTICE ASSOCIATES PC
Active
Organization
SOUTH SHORE FAMILY PRACTICE ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA JEANNE GIEL (OFFICE MANAGER)
(631) 581-4500
Entity
Organization
Contact information
Practice address
369 E MAIN ST, SUITE 3, EAST ISLIP, NY 11730-2800
(631) 581-4500
(631) 581-5905
Mailing address
369 E MAIN ST, SUITE 3, EAST ISLIP, NY 11730-2800
(631) 581-4500
(631) 581-5905
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
190554
NY
Other
Enumeration date
02/23/2007
Last updated
08/22/2020
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