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Organization
NORTH SHORE MEDICAL GROUP OF THE MOUNT SINAI SCHOOL OF MEDICINE
Active
Organization
NORTH SHORE MEDICAL GROUP OF THE MOUNT SINAI SCHOOL OF MEDICINE
Active
Other names
MOUNT SINAI DOCTORS WANTAGH, MOUNT SINAI DOCTORS -MSSN
Organization subpart
No
Provider details
NPI number
Authorized official
JANET STREET (VP OPERATIONS)
(646) 354-3680
Entity
Organization
Contact information
Practice address
2020 WANTAGH AVE, WANTAGH, NY 11793-3931
(516) 961-4545
Mailing address
1 HEALTHY WAY, OCEANSIDE, NY 11572-1551
(516) 632-3454
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207VG0400X
Gynecology Physician
—
—
207VM0101X
Maternal & Fetal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
2080P0202X
Pediatric Cardiology Physician
—
—
2084N0400X
Neurology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
208600000X
Surgery Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
2086X0206X
Surgical Oncology Physician
—
—
208800000X
Urology Physician
—
—
Other
Enumeration date
12/16/2022
Last updated
08/27/2026
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