| NPI | 1790886216 |
|---|---|
| Doing Business As | SHELTER ISLAND MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | MELANIE A MCINTYRE Office Manager 619-223-2668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: CA A32874) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2023-07-18 |