Organization
NY SHORELINE MEDICAL SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY BREVETTI MD (OWNER)
(917) 575-8907
Entity
Organization
Contact information
Practice address
4875 SUNRISE HWY STE 302, BOHEMIA, NY 11716-4630
(917) 575-8907
Mailing address
4875 SUNRISE HWY STE 302, BOHEMIA, NY 11716-4630
(631) 942-0745
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
12/30/2025
Last updated
12/30/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us