| Organization Name: | SHOREHAM MEDICAL SERVICES P.C. |
| NPI Number: | 1164691879 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ERIC HOFFMANN (CEO) |
| Mailing Address: | 45 Route 25a Suite C Shoreham |
| State: | NY US |
| Postal Code: | 117861389 |
| Phone Number: | 6318496116 |
| Fax Number: | 6317441627 |
| NPI Enumeration Date: | 02/27/2008 |
| NPI Last Update Date: | 02/29/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207RC0000X |
| License Number: | 146883 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Internal Medicine |
| Taxonomy Specialization: | Cardiovascular Disease |
| Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |