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Organization
MOUNT SINAI NORTH SHORE MEDICAL GROUP
Active
Organization
MOUNT SINAI NORTH SHORE MEDICAL GROUP
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
59 SOUTHERN BLVD, NESCONSET, NY 11767-1090
(631) 659-1700
(631) 659-1750
Mailing address
59 SOUTHERN BLVD, NESCONSET, NY 11767-1090
(631) 659-1700
(631) 659-1750
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RG0100X
Gastroenterology Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
Other
Enumeration date
02/02/2011
Last updated
02/02/2011
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