NPI | 1649382532 |
---|---|
Doing Business As | NORTH SHORE MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | JANET STREET Administrator 631-351-3703 |
Organization Subpart ? | No |
Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy |
Additional Taxonomies | 207N00000X Dermatology |
207ND0101X Dermatology, MOHS-Micrographic Surgery | |
2080A0000X Pediatrics, Adolescent Medicine | |
Enumeration Date | 2006-08-31 |
Last Update Date | 2020-08-22 |