Organization
NORTH SHORE MEDICAL GROUP OF THE MOUNT SINAI SCHOOL OF MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANET STREET (PRACTICE ADMINISTRATOR)
(631) 351-3703
Entity
Organization
Contact information
Practice address
59 SOUTHERN BLVD, NESCONSET, NY 11767-1090
(631) 659-1700
(631) 659-1750
Mailing address
59 SOUTHERN BLVD, NESCONSET, NY 11767-1090
(631) 659-1700
(631) 659-1750
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
—
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
04/20/2009
Last updated
11/08/2012
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