| NPI | 1497150098 |
|---|---|
| Doing Business As | NORTH SHORE MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | JANICE BECKER Associate Administrator 631-659-4426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2014-10-27 |
| Last Update Date | 2014-10-27 |