SOUTH SHORE MEDICAL SERVICES PLLC


Address: 1175 Montauk Kwy, Suite 6, West Islip, NY 11795
Phone: 6314225371

SOUTH SHORE MEDICAL SERVICES PLLC (NPI# 1164087375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164087375
Entity Type Organization
Organization Name SOUTH SHORE MEDICAL SERVICES PLLC
Practice Address 1175 Montauk Kwy
Suite 6
West Islip
NY 11795
Practice Telephone 6314225371
Practice Fax Number 6318938012
Mailing Telephone 6314225371
Mailing Fax Number 6318938012
Enumeration Date 2019-05-02
Last Update Date 2019-05-02
Authorized Official Name SALVATORE PALUMBO (OWNER)
Authorized Official Telephone 6314225371
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1175 MONTAUK KWY
SUITE 6
City WEST ISLIP
State NY
Zip Code 11795

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639790843 Aparna Kaleeckal Rajalakshmi Student in an Organized Health Care Education/Training Program 1000 Montauk Highway, Good Samaritan Hospital Medical C, Attention Stephanie Rodriguez, Graduate Medical Educati, West Islip, NY 11795 2020-04-28
1841656030 Asnis Dental Pllc Dentist 440 Montauk Highway, West Islip, NY 11795 2016-01-05
1376913731 Erik Walter Physician Assistant 434 Union Blvd, West Islip, NY 11795 2015-09-29
1902202302 Cathleen Degarmo Specialist 524 Everdell Ave, West Islip, NY 11795 2014-11-12
1902201098 Caitlin Henderson Nurse Practitioner 500 Montauk Highway Suite W, Sarah Schwartz Md Pllc, West Islip, NY 11795 2014-10-31
1497182752 Alyssa C Cervini Social Worker 145 Higbie Ln, West Islip, NY 11795 2013-10-02
1174966485 John George Egner Specialist 1 Kennedylane, W Islip, NY 11795 2013-04-17
1902155369 Timothy George M.d., P.C. Pediatrics 239 Higbie Lane, West Islip, NY 11795 2012-08-31
1124387824 Dawn Marie Coughlin Speech-Language Pathologist 50 Cedar Point Drive, West Islip, NY 11795 2012-05-15
1316253750 Gina Marie Beltrami Physician Assistant 108 Higbie Lane, West Islip, NY 11795 2010-08-23
Find all providers in zip 11795

Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669820981 Shaina Joseph Physician Assistant 1000 Montauk Hwy, West Islip, NY 11795-4927 2016-05-26
1710345897 Samantha Hellerman Physician Assistant 1000 Montauk Hwy, West Islip, NY 11795-4927 2016-02-04
1467839969 Dana Alexandra Giangrande Physician Assistant 1000 Montauk Hwy, West Islip, NY 11795-4927 2015-05-04
1407285646 Alina Bhatt Physician Assistant 1000 Montauk Hwy, West Islip, NY 11795-4927 2013-11-07
1225376494 Susan Day Physician Assistant 1000 Montauk Hwy, West Islip, NY 11795-4927 2013-01-23
1326383282 Stephanie Marie Bonura Physician Assistant 1000 Montauk Hwy, West Islip, NY 11795-4927 2012-12-04
1629356266 Devin M Bonura Physician Assistant 1000 Montauk Hwy, West Islip, NY 11795-4927 2011-08-01
1659664357 Laura Malissa Katz Physician Assistant 1000 Montauk Hwy, West Islip, NY 11795-4927 2011-05-27
1548568330 Michele Sampino Physician Assistant 556 Montauk Hwy, West Islip, NY 11795-4407 2011-03-03
1629378906 Robert Passamenti Physician Assistant 108 Higbie Ln, West Islip, NY 11795-3923 2010-11-02
Find all providers in WEST ISLIP

Competitor

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City WEST ISLIP
Zip Code 11795

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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