Organization
NORTH SHORE MEDICAL GROUP OF 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
19 E MAIN ST, SUITE 2, BAY SHORE, NY 11706-8330
(631) 665-6393
(631) 665-5870
Mailing address
19 E MAIN ST, SUITE 2, BAY SHORE, NY 11706-8330
(631) 665-6393
(631) 665-5870
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
07/24/2012
Last updated
07/24/2012
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