Organization
NORTH SHORE MEDICAL GROUP OF THE MOUNT SINAI SCHOOL OF MEDICINE
Active
Parent organization
MOUNT SINAI MEDICAL CENTER
Other names
North Shore Medical Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOUNT SINAI MEDICAL CENTER
Authorized official
JANET STREET (PRACTICE ADMINISTRATOR)
(631) 351-3703
Entity
Organization
Contact information
Practice address
61 SOUTHERN BLVD, NESCONSET, NY 11767-1089
(631) 659-1800
Mailing address
61 SOUTHERN BLVD, NESCONSET, NY 11767-1089
(631) 659-1800
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RG0100X
Gastroenterology Physician
—
—
Other
Enumeration date
08/28/2013
Last updated
08/28/2013
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