# NORTH SHORE TMS LLC

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

## Provider details

- **NPI number:** 1497023964
- **Authorized official:** ANDREA R. CARLSEN M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (631) 923-0006

## Contact information

- **Practice address:** 75 PROSPECT ST STE 102, HUNTINGTON, NY 11743-3320
- **Practice address phone:** (631) 923-0006
- **Practice address fax:** (631) 498-0189
- **Mailing address:** 75 PROSPECT ST STE 105, HUNTINGTON, NY 11743-3310
- **Mailing address phone:** (631) 923-0006
- **Mailing address fax:** (631) 498-0189

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 242634 | NY | Yes |

## Other

- **Enumeration date:** 12/12/2011
- **Last updated:** 10/12/2020