NPI | 1245586528 |
---|---|
Doing Business As | NORTH SHORE MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | JANET STREET Practice Administrator 631-351-3703 |
Organization Subpart ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
Enumeration Date | 2012-07-24 |
Last Update Date | 2012-07-24 |