| 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 |