Organization
SOUTH SHORE GENERAL SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AVA DONALDSON (OFFICE MANAGER)
(516) 379-1495
Entity
Organization
Contact information
Practice address
2 MAIN ST, HEMPSTEAD, NY 11550-4020
(516) 379-1495
Mailing address
3387 COURTNEY PL, BALDWIN, NY 11510-5012
(516) 379-1495
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
209074
NY
Other
Enumeration date
02/17/2009
Last updated
02/17/2009
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