Provider Demographics
NPI:1336233865
Name:NORTH SHORE SURGICAL SPECIALISTS, M.D. P.C.
Entity Type:Organization
Organization Name:NORTH SHORE SURGICAL SPECIALISTS, M.D. P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DOMINIC
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:FILARDI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-482-8657
Mailing Address - Street 1:310 EAST SHORE ROAD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11023
Mailing Address - Country:US
Mailing Address - Phone:516-482-8657
Mailing Address - Fax:516-829-0002
Practice Address - Street 1:310 EAST SHORE ROAD
Practice Address - Street 2:SUITE 203
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11023
Practice Address - Country:US
Practice Address - Phone:516-482-8657
Practice Address - Fax:516-829-0002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty