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SOUTH SHORE PULMONARY MEDICINE PC NPI 1750451001


NPI Information

NPI: 1750451001
Provider Name: SOUTH SHORE PULMONARY MEDICINE PC
Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

Address:
360 CENTRAL AVE
SUITE 113
LAWRENCE, NY
ZIP 11559
Phone: (516) 569-6966
Get Directions

SOUTH SHORE PULMONARY MEDICINE PC is a pulmonary disease internal medicine in Lawrence, NY. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. SOUTH SHORE PULMONARY MEDICINE PC NPI is 1750451001. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

360 CENTRAL AVE
SUITE 113
LAWRENCE, NY
ZIP 11559
Phone: (516) 569-6966
Fax: (516) 569-4026

The provider's authorized official is Nathan Ira Rothman .
The authorized official title is Partner and has the following contact phone number (516) 569-6966.

The enumeration date for this NPI number is 11/8/2006 and was last updated on 3/30/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RP1001XInternal MedicinePulmonary DiseaseYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1W11141MEDICARE ID-TYPE UNSPECIFIEDGROUP #
200940721MEDICAIDNEW YORK

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: 4/28/2024

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