Organization
SOUTH SHORE INFECTIOUS DISEASES , PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLINA BLANDON (OFFICE MANAGER)
(631) 376-6075
Entity
Organization
Contact information
Practice address
40 E MAIN ST, BAY SHORE, NY 11706-8301
(631) 376-6075
(631) 376-6091
Mailing address
40 EAST MAIN STREET, BAY SHORE, NY 11706
(631) 376-6075
(631) 376-6091
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
186715
NY
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Enumeration date
07/16/2006
Last updated
01/16/2024
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