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Organization
NORTH SHORE TMS
Active
Organization
NORTH SHORE TMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREA CARLSEN MD (MEDICAL DIRECTOR, NORTH SHORE TMS)
(631) 923-0006
Entity
Organization
Contact information
Practice address
75 PROSPECT ST STE 105, HUNTINGTON, NY 11743-3310
(631) 923-0006
(631) 498-0189
Mailing address
75 PROSPECT ST STE 105, HUNTINGTON, NY 11743-3310
(631) 923-0006
(631) 498-0189
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
242634
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1912079302
NPI NUMBER
—
Enumeration date
12/13/2017
Last updated
12/13/2017
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