Provider Demographics
NPI:1013173475
Name:NORTH SHORE EAR, NOSE AND THROAT, PC
Entity Type:Organization
Organization Name:NORTH SHORE EAR, NOSE AND THROAT, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:
Authorized Official - Last Name:SORIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD,
Authorized Official - Phone:516-627-7100
Mailing Address - Street 1:2001 MARCUS AVE STE S10
Mailing Address - Street 2:
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11042-1078
Mailing Address - Country:US
Mailing Address - Phone:516-627-7100
Mailing Address - Fax:516-627-7105
Practice Address - Street 1:2001 MARCUS AVE STE S10
Practice Address - Street 2:
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11042-1078
Practice Address - Country:US
Practice Address - Phone:516-627-7100
Practice Address - Fax:516-627-7105
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-04
Last Update Date:2023-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty