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Organization

NORTH SHORE - LIJ MEDICAL GROUP URGENT MEDICAL CARE, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROBERT S SHAPIRO (EXECUTIVE VP & CFO)
(516) 321-6025
Entity
Organization

Contact information

Practice address
300 COMMUNITY DR, MANHASSET, NY 11030-3816
(516) 562-3090
Mailing address
300 COMMUNITY DR, MANHASSET, NY 11030-3816

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
207Q00000X
Family Medicine Physician

Other

Enumeration date
08/10/2016
Last updated
08/10/2016
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