North Shore Medical Group of Mt Sinai School of Medicine
NPI #1003121013 in Lake Ronkonkoma, New York
Provider Information
- NPI Number
- 1003121013
- Entity Type
- Organization
- Organization Name
- North Shore Medical Group of Mt Sinai School of Medicine
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Aug 13, 2010
- Last Updated
- Aug 13, 2010
Practice Location
- Address
- 201 PORTION RD
- Address 2
- SUITE C
- City
- Lake Ronkonkoma
- State
- New York
- ZIP Code
- 11779-4172
- Phone
- (631) 585-5959
Authorized Official
- Name
- JANET STREET
- Title
- ADMINISTRATOR
- Phone
- (631) 351-3703
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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