Organization · Type 2 NPI
North Shore Medical Group PLLC
Adult Medicine Physician · Syracuse, NY
NPI number
1487252581
Active
Practice location
311 Skyview Ter
Syracuse, NY 13219-2835
Fax (952) 209-2012
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Medicine Physician Primary | 207QA0505X | None listed |
| Medical Physician Assistant | 363AM0700X | None listed |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
About NPI 1487252581
North Shore Medical Group PLLC's National Provider Identifier is 1487252581, issued on Oct 12, 2020. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Syracuse, NY. The record was last updated on May 16, 2022.