| Gary Shore Md Pc | |
|
31 Merrick Ave Suite 230 Merrick NY 11566-3477 | |
| (516) 377-2820 | |
| (516) 378-2968 |
| Full Name | Gary Shore Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 31 Merrick Ave, Merrick, New York |
| Authorized Official Name and Position | Gary J Shore (PRESIDENT) |
| Authorized Official Contact | 5163772820 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gary Shore Md Pc 87 E Lexington Ave Oceanside NY 11572-5420 Ph: (516) 377-2820 | Gary Shore Md Pc 31 Merrick Ave Suite 230 Merrick NY 11566-3477 Ph: (516) 377-2820 |
| NPI Number | 1295962751 |
|---|---|
| Provider Enumeration Date | 06/11/2009 |
| Last Update Date | 04/20/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295962751 | NPI | - | NPPES |
| DP304 | Other | OXFORD | |
| 179491N01 | Other | NY | HIP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 179490 (New York) | Primary |
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