Southside Hospital Emergency Department in Bay Shore - Physician Assistant
Southside Hospital Emergency Department - NPI 1528025459
Southside Hospital Emergency Department is a Physician Assistant in Bay Shore, New York. Southside Hospital Emergency Department practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Southside Hospital Emergency Department is 1528025459. The last update date is 2007-10-09.
Southside Hospital Emergency Department'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 Emergency Department is 301 E Main St, Bay Shore, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southside Hospital Emergency Department |
|---|---|
| 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 | 1528025459 |
|---|---|
| Provider Enumeration Date | 2006-04-26 |
| Last Updated Date | 2007-10-09 |
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 | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1752496 | NY | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Southside Hospital Emergency Department by the Centers for Medicare & Medicaid Services?
The Southside Hospital Emergency Department has been assigned the NPI (National Provider Identifier) 1528025459 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Southside Hospital Emergency Department is physically located?
The Southside Hospital Emergency Department is physically situated at the following address: 301 E Main St, Bay Shore, NY, 117068408.
What is the Southside Hospital Emergency Department's specialty and taxonomy code?
The Southside Hospital Emergency Department's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1528025459 to Southside Hospital Emergency Department?
The Southside Hospital Emergency Department received its 1528025459 assignment from the Centers for Medicare & Medicaid Services on 2006-04-26.
When was the Southside Hospital Emergency Department's information last updated?
The Southside Hospital Emergency Department's information was last updated on 2007-10-09.