Southside Hospital

NPI #1184798977 in Central Islip, New York

Provider Information

NPI Number: 1184798977
Entity Type: Organization
Organization Name: Southside Hospital
Primary Specialty: Clinic/Center - Primary Care
Enumeration Date: Nov 20, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 45 W SUFFOLK AVE
City: Central Islip
State: New York
ZIP Code: 11722-2143
Phone: (631) 853-2710

Authorized Official

Name: MR. DOUGLAS A. RIGGS, RPAC
Title: RPAC
Phone: (631) 853-2710

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Primary Care — Primary Care	261QP2300X	Primary

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