| North Shore Infectious Diseases Consultants, Pc | |
|
2200 Northern Blvd Ste 205 Greenvale NY 11548-1220 | |
| (516) 767-7771 | |
| (516) 767-7765 |
| Full Name | North Shore Infectious Diseases Consultants, Pc |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 2200 Northern Blvd Ste 205, Greenvale, New York |
| Authorized Official Name and Position | Angie Rodriguez (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 5167677771 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Shore Infectious Diseases Consultants, Pc 2200 Northern Blvd Ste 205 Greenvale NY 11548-1220 Ph: (516) 767-7771 | North Shore Infectious Diseases Consultants, Pc 2200 Northern Blvd Ste 205 Greenvale NY 11548-1220 Ph: (516) 767-7771 |
| NPI Number | 1114974094 |
|---|---|
| Provider Enumeration Date | 05/27/2006 |
| Last Update Date | 04/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114974094 | NPI | - | NPPES |
| 01175960 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
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