Organization
NORTH SHORE MEDICAL GROUP OF THE MOUNT SINAI SCHOOL OF MEDICINE
Active
Other names
North Shore Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
JANET STREET (PRACTICE ADMINISTRATOR)
(631) 351-3703
Entity
Organization
Contact information
Practice address
775 PARK AVE, HUNTINGTON, NY 11743-3976
(631) 659-4400
(631) 659-4578
Mailing address
775 PARK AVE, HUNTINGTON, NY 11743-3976
(631) 659-4400
(631) 659-4578
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
207NS0135X
Procedural Dermatology Physician
—
—
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
05/29/2007
Last updated
10/06/2015
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