North Shore Medical Group Of Mt Sinai School Of Medicine

NPI 1003121013 - Internal Medicine - 207R00000X

NPI Details
NPI 1003121013
Enumeration Date 08/13/2010
Last Updated 08/13/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name JANET JANET
Position ADMINISTRATOR
Phone (631) 585-5959
Fax
Practice Location
201 PORTION RD
SUITE C
LAKE RONKONKOMA NY, 11779-4172, US
Phone (631) 585-5959
Fax
Business Location
201 PORTION RD
SUITE C
LAKE RONKONKOMA NY, 11779-4172, US
Phone (631) 585-5959
Fax
Toxanomy
Taxonomy Code 207R00000X
License State
License Number
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According to our database, North Shore Medical Group Of Mt Sinai School Of Medicine NPI is 1003121013, taxonomy code is 207R00000X North Shore Medical Group Of Mt Sinai School Of Medicine physically located at 201 Portion Rd, Lake Ronkonkoma NY, 11779-4172. NPI Number 1033115704 has the healthcare provider type.

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1003121013 NPI number is provided on an as is basis without warranty of any kind. 1003121013 is maintained by the National Plan & Provider Enumeration System. The contents of North Shore Medical Group Of Mt Sinai School Of Medicine are for informational purposes only.