Organization
NORTH SHORE AMSURGERY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE PYNE (OFFICE MANAGER)
(631) 424-3600
Entity
Organization
Contact information
Practice address
510 BROADHOLLOW RD STE 100, MELVILLE, NY 11747-3606
(631) 424-3600
Mailing address
510 BROADHOLLOW RD STE 100, MELVILLE, NY 11747-3606
(631) 470-0960
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
208600000X
Surgery Physician
—
—
Other
Enumeration date
02/01/2023
Last updated
03/28/2023
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