| NPI | 1780819664 |
|---|---|
| Doing Business As | NORTHSIDE MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | LESLEY WILLBRANDT Director Shared Services 947-522-1911 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2009-05-21 |
| Last Update Date | 2019-02-11 |