Organization
NSLIJ SOUTHSIDE HOSPITAL
Active
Other names
NSLIJ
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SAMANTHA ANN UNDARI-SCHWARTZ NURSE PRACTIONER (NURSE PRACTIONER)
(516) 330-1578
Entity
Organization
Contact information
Practice address
301 E MAIN ST, BAY SHORE, NY 11706-8408
(631) 968-3000
Mailing address
301 E MAIN ST, BAY SHORE, NY 11706-8408
(631) 968-3000
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
306519
NY
Other
Enumeration date
06/27/2013
Last updated
06/27/2013
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