Southside Hospital Faculty Practice in Bay Shore - Internal Medicine
Southside Hospital Faculty Practice - NPI 1619934544
Southside Hospital Faculty Practice is a Internal Medicine in Bay Shore, New York. Southside Hospital Faculty Practice practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Southside Hospital Faculty Practice is 1619934544. The last update date is 2008-08-13.
Southside Hospital Faculty Practice's current location address is 301 E Main St, Bay Shore, New York. You can contact this provider via phone number 6316754149. The mailing address for Southside Hospital Faculty Practice is 301 E Main St, Bay Shore, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southside Hospital Faculty Practice |
|---|---|
| Address | 301 E Main St, Bay Shore, New York |
| Phone Number | 6316754149 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CFO |
|---|---|
| Authorized Official Name | Mack Winifred |
| Telephone Number | 6319689000 |
NPI Number Detail
| NPI Number | 1619934544 |
|---|---|
| Provider Enumeration Date | 2006-04-26 |
| Last Updated Date | 2008-08-13 |
Provider Mailing Address Detail
| Address | 301 E Main St |
|---|---|
| City | Bay Shore |
| State | New York (NY) |
| Post Code | 117068408 |
| Phone Number | 6316754149 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
|
Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2167655 | NY | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Southside Hospital Faculty Practice by the Centers for Medicare & Medicaid Services?
The Southside Hospital Faculty Practice has been assigned the NPI (National Provider Identifier) 1619934544 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Southside Hospital Faculty Practice's facilities are geographically located?
The facilities of Southside Hospital Faculty Practice are physically situated at the following location: 301 E Main St, Bay Shore, NY, 117068408.
What is the area of specialization for Southside Hospital Faculty Practice, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Southside Hospital Faculty Practice is Internal Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1619934544 to Southside Hospital Faculty Practice?
The Centers for Medicare & Medicaid Services originally issued the 1619934544 to Southside Hospital Faculty Practice on 2006-04-26.
As of what date were the details related to Southside Hospital Faculty Practice most recently updated or revised?
The information pertaining to Southside Hospital Faculty Practice, including its address, specialty, and other relevant details, was last updated or revised on 2008-08-13.
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