Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

South Shore Bay Shore Medical PC

Organization Family Medicine Physician · NPI 1134848070

South Shore Bay Shore Medical PC provides Family Medicine Physician services in Bay Shore, New York. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

24 Brentwood Rd # D
Bay Shore, NY 11706-8011
Phone: (631) 647-4567
Fax: (631) 647-4568
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1134848070
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Heather Ochoa — Manager · (631) 833-3026
NPI enumeratedAugust 24, 2022
Last updated in NPPESOctober 25, 2023
Certification dateOctober 25, 2023
Mailing address24 Brentwood Rd # D, Bay Shore, NY 11706-8011

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