North Shore Medical Pllc

NPI #1083966170 in Rego Park, New York

Provider Information

NPI Number: 1083966170
Entity Type: Organization
Organization Name: North Shore Medical Pllc
Primary Specialty: Internal Medicine
Enumeration Date: Oct 12, 2012
Last Updated: Dec 11, 2024

Practice Location

Address: 9308 QUEENS BLVD # 1B1C
City: Rego Park
State: New York
ZIP Code: 11374-1135
Phone: (718) 806-1434

Authorized Official

Name: MARVIN BASE, M.D.
Title: DIRECTOR
Phone: (718) 806-1434

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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