Mount Sinai North Shore Medical Group

NPI #1659677037 in Nesconset, New York

Provider Information

NPI Number: 1659677037
Entity Type: Organization
Organization Name: Mount Sinai North Shore Medical Group
Primary Specialty: Internal Medicine
Enumeration Date: Feb 2, 2011
Last Updated: Feb 2, 2011

Practice Location

Address: 59 SOUTHERN BLVD
City: Nesconset
State: New York
ZIP Code: 11767-1090
Phone: (631) 659-1700

Authorized Official

Name: JANET STREET
Title: PRACTICE ADMINISTRATOR
Phone: (631) 351-3703

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine - Gastroenterology — Gastroenterology	207RG0100X
Internal Medicine - Geriatric Medicine — Geriatric Medicine	207RG0300X
Internal Medicine	207R00000X	Primary

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