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
JANET STREET (ADMINISTRATOR)
(631) 351-3703
Entity
Organization
Contact information
Practice address
241 E MAIN ST, HUNTINGTON, NY 11743-2924
(631) 351-3700
(631) 351-8247
Mailing address
241 E MAIN ST, HUNTINGTON, NY 11743-2924
(631) 351-3700
(631) 351-8247
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
—
—
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
2080A0000X
Pediatric Adolescent Medicine Physician
—
—
Other
Enumeration date
08/31/2006
Last updated
09/11/2025
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