North Shore Medical Accelerator Pc in Smithtown - Specialist

North Shore Medical Accelerator Pc - NPI 1255483707

North Shore Medical Accelerator Pc is a Specialist in Smithtown, New York. North Shore Medical Accelerator Pc practices all healthcare services and medical treatments related to Specialist. The NPI Number for North Shore Medical Accelerator Pc is 1255483707. The last update date is 2017-11-15.

North Shore Medical Accelerator Pc's current location address is 989 W Jericho Tpke, Smithtown, New York. You can contact this provider via phone number 6318645600 and fax number 6318645612. The mailing address for North Shore Medical Accelerator Pc is 989 W Jericho Tpke, Smithtown, New York. To know further, please read the information below!

Provider Profile Detail

Provider Organization North Shore Medical Accelerator Pc
Address 989 W Jericho Tpke, Smithtown, New York
Phone Number 6318645600
Fax Number 6318645612
Sole Proprietor --
Credentials --

Authorized Official

Title or Position VICE PRESI
Authorized Official Name Byrnes Thomas Richard
Credentials MD
Telephone Number 6318645600

NPI Number Detail

NPI Number 1255483707
Provider Enumeration Date 2007-01-17
Last Updated Date 2017-11-15

Provider Mailing Address Detail

Address 989 W Jericho Tpke
City Smithtown
State New York (NY)
Post Code 117873203
Phone Number 6318645600
Fax Number 6318645612

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 16883
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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FAQs about North Shore Medical Accelerator Pc

What is the unique identification code assigned to North Shore Medical Accelerator Pc by the Centers for Medicare & Medicaid Services?

The North Shore Medical Accelerator Pc has been issued the NPI (National Provider Identifier) 1255483707. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where North Shore Medical Accelerator Pc is physically located?

The North Shore Medical Accelerator Pc is physically situated at the following address: 989 W Jericho Tpke, Smithtown, NY, 117873203.

What is North Shore Medical Accelerator Pc's specialized field of practice, and what is the corresponding taxonomy classification code?

The North Shore Medical Accelerator Pc's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.

On what date did the North Shore Medical Accelerator Pc receive the assignment of its 1255483707 from the Centers for Medicare & Medicaid Services?

The North Shore Medical Accelerator Pc was issued its 1255483707 by the Centers for Medicare & Medicaid Services on 2007-01-17.

When was the information pertaining to North Shore Medical Accelerator Pc most recently updated or revised?

The details related to North Shore Medical Accelerator Pc, including its address, specialty, and other relevant information, were last updated or revised on 2017-11-15.

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