Provider Demographics
NPI:1457468415
Name:NORTH SHORE MANAGEMENT, INC
Entity Type:Organization
Organization Name:NORTH SHORE MANAGEMENT, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:FARRUKH
Authorized Official - Middle Name:
Authorized Official - Last Name:KHWAJA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-458-7898
Mailing Address - Street 1:8 ASH LN
Mailing Address - Street 2:
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11581-1702
Mailing Address - Country:US
Mailing Address - Phone:516-458-7898
Mailing Address - Fax:516-977-1149
Practice Address - Street 1:15-40A 128TH STREET
Practice Address - Street 2:
Practice Address - City:COLLEGE POINT
Practice Address - State:NY
Practice Address - Zip Code:11356
Practice Address - Country:US
Practice Address - Phone:516-458-7898
Practice Address - Fax:516-977-1149
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment