| NPI | 1669854824 |
|---|---|
| Doing Business As | NORTH SHORE MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | ALICIA GRESHAM VP Network Operations 212-659-9038 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 2080A0000X Pediatrics, Adolescent Medicine | |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2015-06-24 |