NORTH SHORE MEDICAL GROUP OF MOUNT SINAI SCHOOL OF MEDICINE
Osteopathic Medicine at Route 111, Hauppauge, NY

License number
New York 157830
Category
Osteopathic Medicine
Type
Internal Medicine
License number
New York 159827
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: JANET STREET
Title: ADMINISTRATOR
Phone: (631) 351-3703
Address
Address
521 Route 111 SUITE 202, Hauppauge, NY 11788
National Provider ID: 1811224868
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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