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1083966170
NORTH SHORE MEDICAL PLLC
BAYSIDE, NY
NPI
1083966170
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Entity Type
Organization
Authorized Contact
MARVIN BASE
Director
718-806-1434
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NY 187770)
Enumeration Date
2012-10-12
Last Update Date
2014-01-08
Business Address
NORTH SHORE MEDICAL PLLC
21008 NORTHERN BLVD SUIT 1A
BAYSIDE, NY 11361-3211
Phone number: 718-281-0833
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Mailing Address
NORTH SHORE MEDICAL PLLC
65-11 BOOTH STREET SUITE 1C
REGO PARK, NY 11374
Phone number: 718-806-1434
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