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SOUTH SHORE FAMILY PRACTICE D.O. P.C. NPI 1386856334


NPI Information

NPI: 1386856334
Provider Name: SOUTH SHORE FAMILY PRACTICE, D.O., P.C.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 33D2239066

Address:
5440 MERRICK RD
MASSAPEQUA, NY
ZIP 11758
Phone: (516) 795-8446
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SOUTH SHORE FAMILY PRACTICE, D.O., P.C. is a family medicine in Massapequa, NY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SOUTH SHORE FAMILY PRACTICE, D.O., P.C. NPI is 1386856334. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5440 MERRICK RD
MASSAPEQUA, NY
ZIP 11758-213
Phone: (516) 795-8446
Fax: (516) 795-2981

The provider's authorized official is Steven Christopher Golinowski .
The authorized official title is President and has the following contact phone number (516) 795-8446.

The CLIA number assigned to this NPI record is 33D2239066 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/3/2007 and was last updated on 10/25/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineNEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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