Organization
NORTH SHORE MEDICAL GROUP OF MT SINAI SCHOOL OF MEDICINE
Active
Other names
North Shore Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANET STREET (PRACTICE ADMINISTRATOR)
(631) 351-3703
Entity
Organization
Contact information
Practice address
21 SOUTHDOWN RD, HUNTINGTON, NY 11743-2538
(631) 351-3763
(631) 385-8210
Mailing address
21 SOUTHDOWN RD, HUNTINGTON, NY 11743-2538
(631) 351-3763
(631) 385-8210
Taxonomy
Speciality
Code
Description
License number
State
2088P0231X
Pediatric Urology Physician
Primary
—
—
Other
Enumeration date
01/23/2009
Last updated
01/23/2009
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