| Organization Name: | NORTH SHORE LIJ OB GYN PC |
| NPI Number: | 1033453329 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERT S SHAPIRO (EXECUTIVE VP & CFO) |
| Mailing Address: | 3001 Expressway Dr N Islandia |
| State: | NY US |
| Postal Code: | 117495301 |
| Phone Number: | 6312926747 |
| Fax Number: | 5168766600 |
| NPI Enumeration Date: | 11/27/2012 |
| NPI Last Update Date: | 11/27/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VX0000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Obstetrics |
| Taxonomy Definition: | |