Organization
NORTH SHORE MEDICAL GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT GLASER MD (PHYSICIAN IN CHARGE)
(516) 328-3888
Entity
Organization
Contact information
Practice address
2035 LAKEVILLE RD, NEW HYDE PARK, NY 11040-1661
(516) 328-3888
(516) 352-6579
Mailing address
2035 LAKEVILLE RD, NEW HYDE PARK, NY 11040-1661
(516) 328-3888
(516) 352-6579
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
120996
NY
207RC0000X
Cardiovascular Disease Physician
Primary
120996
NY
Other
Enumeration date
05/06/2008
Last updated
05/06/2008
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