| NPI | 1811224868 |
|---|---|
| Doing Business As | NORTH SHORE MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | JANET STREET Administrator 631-351-3703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 157830) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 159827) |
| Enumeration Date | 2009-11-12 |
| Last Update Date | 2009-11-12 |