Organization
NORTH SHORE TMS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA R. CARLSEN M.D. (MEDICAL DIRECTOR)
(631) 923-0006
Entity
Organization
Contact information
Practice address
75 PROSPECT ST STE 102, HUNTINGTON, NY 11743-3320
(631) 923-0006
(631) 498-0189
Mailing address
75 PROSPECT ST STE 105, HUNTINGTON, NY 11743-3310
(631) 923-0006
(631) 498-0189
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
242634
NY
Other
Enumeration date
12/12/2011
Last updated
10/12/2020
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