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Organization
NORTH COAST MEDICAL ASSOCIATES PLLC
Active
Organization
NORTH COAST MEDICAL ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANNA LIZZA SIASOCO MD (OWNER)
(516) 883-0218
Entity
Organization
Contact information
Practice address
415 PORT WASHINGTON BLVD, PORT WASHINGTON, NY 11050-4201
(516) 883-0218
(516) 767-0894
Mailing address
415 PORT WASHINGTON BLVD, PORT WASHINGTON, NY 11050-4201
(516) 883-0218
(516) 767-0894
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
236459
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051903998
MAGNACARE
NY
01
—
2554307
UHC
NY
01
—
286811P
HIP
NM
01
—
3363P1
BLUE CROSS BLUE SHIELD
NY
01
—
5880458
CIGNA
NY
01
—
5995775
GHI
NY
01
—
6C0603
HEALTH NET OF NORTHEAST
NY
01
—
9412517
PHCS
NY
01
—
AA73558A
MDNY
NY
01
—
P3698445
OXFORD
NY
01
—
SA6459
ATLANTIS
NY
Enumeration date
06/26/2007
Last updated
02/17/2011
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