Whalio Doctors

NPI 1043650625

Nslij Southside Hospital

Organisation Nursing Facility/Intermediate Care Facility Bay Shore, NY

Practice location

Address
301 E Main St, Bay Shore, NY 11706-8408
Phone
(631) 968-3000

Authorised official

Name
Samantha Ann Undari-Schwartz
Title
Nurse Practioner
Phone
(516) 330-1578

Registered specialties

Nursing Facility/Intermediate Care Facility Primary
Nursing & Custodial Care Facilities Taxonomy 313M00000X Licence 306519 (NY)

Registry record

NPI
1043650625
Entity type
Organization
NPI issued
27 Jun 2013
Record last updated
27 Jun 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.