Organization
SOUTH SHORE COMPREHENSIVE MEDICAL GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PEDRO H CALVES M.D. (DIRECTOR OF OPERATIONS)
(631) 669-4500
Entity
Organization
Contact information
Practice address
500 W MAIN ST, SUITE 110, BABYLON, NY 11702-3027
(631) 669-4500
Mailing address
4567 CROSSROADS PARK DR, 2ND FLOOR, LIVERPOOL, NY 13088-3589
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
167384
NY
Other
Enumeration date
08/22/2005
Last updated
08/22/2020
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