South Shore Medical Professionals P.c.

NPI #1376719542 in Elmont, New York

Provider Information

NPI Number: 1376719542
Entity Type: Organization
Organization Name: South Shore Medical Professionals P.c.
Primary Specialty: Specialist
Enumeration Date: May 7, 2008
Last Updated: May 7, 2008

Practice Location

Address: 1975 LINDEN BLVD
Address 2: SUITE 105
City: Elmont
State: New York
ZIP Code: 11003-4004
Phone: (516) 285-2850

Authorized Official

Name: HOWARD KAFKA
Title: MANAGER
Phone: (516) 239-0021

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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