Organization
NORTH SHORE MEDICAL SPECIALTIES GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARTON E COHEN MD (PHYSICIAN PRESIDENT)
(516) 487-1414
Entity
Organization
Contact information
Practice address
ONE HOLLOW LANE, SUITE 312 NORTH SHORE MEDICAL SPECIALTIES GROUP PC, LAKE SUCCESS, NY 11042
(516) 487-1414
(516) 487-0576
Mailing address
ONE HOLLOW LANE, SUITE 312 NORTH SHORE MEDICAL SPECIALTIES GROUP PC, LAKE SUCCESS, NY 11042
(516) 487-1414
(516) 487-0576
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207UN0901X
Nuclear Cardiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CA9724
MEDICARE RAILROAD
NY
Enumeration date
03/28/2006
Last updated
12/27/2012
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