NORTH SHORE MEDICAL GROUP PLLC NPI 1487252581

NPI Information

NPI: 1487252581
Provider Name: NORTH SHORE MEDICAL GROUP PLLC
Classification: Family Medicine - 207QA0505X
Entity Type: Organization

Specialization: Adult Medicine

Address:
311 SKYVIEW TER
SYRACUSE, NY
ZIP 13219
Phone: (315) 935-1154
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NORTH SHORE MEDICAL GROUP PLLC is an adult medicine family medicine in Syracuse, NY. The provider is definition to come. NORTH SHORE MEDICAL GROUP PLLC NPI is 1487252581. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

311 SKYVIEW TER
SYRACUSE, NY
ZIP 13219-835
Phone: (315) 935-1154
Fax: (952) 209-2012

The provider's authorized official is Joshu Coppola .
The authorized official title is Pa and has the following contact phone number (315) 289-6300.

The enumeration date for this NPI number is 10/12/2020 and was last updated on 10/12/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical			No
2	207QA0505X	Family Medicine	Adult Medicine			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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