Organization
NORTH SHORE MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANET STREET (PRACTICE ADMINISTRATOR)
(631) 351-3700
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
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
10/24/2008
Last updated
10/24/2008
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