South Shore Medical Care, PC

NPI #1861696171 in Deer Park, New York

Provider Information

NPI Number: 1861696171
Entity Type: Organization
Organization Name: South Shore Medical Care, PC
Primary Specialty: Family Medicine
Enumeration Date: Jun 12, 2007
Last Updated: Jan 10, 2012

Practice Location

Address: 16 VAN COTT RD
Address 2: SUITE 2E
City: Deer Park
State: New York
ZIP Code: 11729-6519
Phone: (631) 274-0777

Authorized Official

Name: DR. MARC ALBERT LEWANDOSKI, DO
Title: DOCTOR
Phone: (631) 274-0777

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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