| South Shore Family Medicine,pc | |
|
2280 Grand Ave Suite 208 Baldwin NY 11510-3164 | |
| (516) 623-4800 | |
| (516) 623-8845 |
| Full Name | South Shore Family Medicine,pc |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 2280 Grand Ave, Baldwin, New York |
| Authorized Official Name and Position | Marie Marino (BILLING MANAGER) |
| Authorized Official Contact | 5166239675 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Shore Family Medicine,pc 2280 Grand Ave Suite 208 Baldwin NY 11510-3164 Ph: (516) 623-4800 | South Shore Family Medicine,pc 2280 Grand Ave Suite 208 Baldwin NY 11510-3164 Ph: (516) 623-4800 |
| NPI Number | 1932420817 |
|---|---|
| Provider Enumeration Date | 06/15/2010 |
| Last Update Date | 06/15/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932420817 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
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