| Sound Shore Physician Services | |
|
16 Guion Pl New Rochelle NY 10801-5503 | |
| (914) 365-3160 | |
| Not Available |
| Full Name | Sound Shore Physician Services |
|---|---|
| Speciality | Clinic/center |
| Location | 16 Guion Pl, New Rochelle, New York |
| Authorized Official Name and Position | Douglas O. Landy (COO) |
| Authorized Official Contact | 9143653353 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sound Shore Physician Services 16 Guion Pl Iselin Hall, Room 107 New Rochelle NY 10801-5503 Ph: (914) 365-3353 | Sound Shore Physician Services 16 Guion Pl New Rochelle NY 10801-5503 Ph: (914) 365-3160 |
| NPI Number | 1689883068 |
|---|---|
| Provider Enumeration Date | 05/22/2007 |
| Last Update Date | 05/27/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689883068 | NPI | - | NPPES |
| 03096297 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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