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Organization
NORTH SHORE MEDICAL GROUP OF MOUNT SINAI SCHOOL OF MEDICINE
Active
Organization
NORTH SHORE MEDICAL GROUP OF MOUNT SINAI SCHOOL OF MEDICINE
Active
Other names
North Shore Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
JANET STREET (ADMINISTRATOR)
(631) 351-3703
Entity
Organization
Contact information
Practice address
521 ROUTE 111, SUITE 202, HAUPPAUGE, NY 11788-4370
(631) 361-4625
(631) 361-2021
Mailing address
521 ROUTE 111, SUITE 202, HAUPPAUGE, NY 11788-4370
(631) 361-4625
(631) 361-2021
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
157830
NY
207R00000X
Internal Medicine Physician
159827
NY
Other
Enumeration date
11/12/2009
Last updated
11/12/2009
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