Organization
NORTH SHORE INFECTIOUS DISEASES CONSULTANTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE RODRIGUEZ (PRACTICE ADMINISTRATOR)
(516) 767-7771
Entity
Organization
Contact information
Practice address
2200 NORTHERN BLVD STE 205, GREENVALE, NY 11548-1220
(516) 767-7771
(516) 767-7765
Mailing address
2200 NORTHERN BLVD STE 205, GREENVALE, NY 11548-1220
(516) 767-7771
(516) 767-7765
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01175960
—
NY
Enumeration date
05/27/2006
Last updated
04/05/2024
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