| NPI | 1356697627 |
|---|---|
| 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 |