Organization
SOUTH SHORE FAMILY MEDICINE,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE MARINO (BILLING MANAGER)
(516) 623-9675
Entity
Organization
Contact information
Practice address
2280 GRAND AVE, SUITE 208, BALDWIN, NY 11510-3164
(516) 623-4800
(516) 623-8845
Mailing address
2280 GRAND AVE, SUITE 208, BALDWIN, NY 11510-3164
(516) 623-4800
(516) 623-8845
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Enumeration date
06/15/2010
Last updated
06/15/2010
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