| Organization Name: | NORTH SHORE RADIOLOGY AT GLEN COVE PC |
| NPI Number: | 1003024662 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERT SHAPIRO (CFO) |
| Mailing Address: | 10 Medical Plz Glen Cove |
| State: | NY US |
| Postal Code: | 115422193 |
| Phone Number: | 5166740500 |
| Fax Number: | 5166747912 |
| NPI Enumeration Date: | 05/18/2007 |
| NPI Last Update Date: | 06/11/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085N0904X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Nuclear Radiology |
| Taxonomy Definition: | A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease. |