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NORTH SHORE MEDICAL GROUP NPI 1790938595


NPI Information

NPI: 1790938595
Provider Name: NORTH SHORE MEDICAL GROUP
Classification: Urology - 208800000X
Entity Type: Organization
Address:
21 SOUTHDOWN RD
HUNTINGTON, NY
ZIP 11743
Phone: (631) 351-3763
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NORTH SHORE MEDICAL GROUP is an urology in Huntington, NY. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. NORTH SHORE MEDICAL GROUP NPI is 1790938595. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

21 SOUTHDOWN RD
HUNTINGTON, NY
ZIP 11743-538
Phone: (631) 351-3763
Fax: (631) 385-8210

The provider's authorized official is Janet Street .
The authorized official title is Practice Administrator and has the following contact phone number (631) 351-3700.

The enumeration date for this NPI number is 10/24/2008 and was last updated on 10/24/2008.


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
1208800000XUrologyYes

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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