Organization
NORTH SHORE MEDICAL GROUP OF THE MOUNT SINAI SCHOOL OF MEDICINE
Active
Other names
North Shore Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE BECKER (ASSOCIATE ADMINISTRATOR)
(631) 659-4426
Entity
Organization
Contact information
Practice address
61 E MAIN ST, BAY SHORE, NY 11706-8366
(631) 659-1600
(631) 665-5870
Mailing address
61 E MAIN ST, BAY SHORE, NY 11706-8366
(631) 659-1600
(631) 665-5870
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
NY
Other
Enumeration date
10/27/2014
Last updated
10/27/2014
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