Organization
SOUTH SHORE PULMONARY MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN IRA ROTHMAN MD (PARTNER)
(516) 569-6966
Entity
Organization
Contact information
Practice address
360 CENTRAL AVE, SUITE 113, LAWRENCE, NY 11559
(516) 569-6966
(516) 569-4026
Mailing address
360 CENTRAL AVE, SUITE 113, LAWRENCE, NY 11559
(516) 569-6966
(516) 569-4026
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00940721
—
NY
Enumeration date
11/08/2006
Last updated
03/30/2015
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