| Organization Name: | NORTH SHORE MANAGEMENT, INC |
| NPI Number: | 1457468415 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | FARRUKH KHWAJA (MANAGER) |
| Mailing Address: | 15-40a 128th Street College Point |
| State: | NY US |
| Postal Code: | 11356 |
| Phone Number: | 5164587898 |
| Fax Number: | 5169771149 |
| NPI Enumeration Date: | 08/24/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BC3200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Customized Equipment |
| Taxonomy Definition: | |