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

Southshore Medical Practice Management, Inc

Organization Contractor · NPI 1649575242

Southshore Medical Practice Management, Inc provides Contractor services in Bay Shore, New York. Registered with an NPI since 2011.

In the registry since
2011
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

56 W Main St Ste 203
Bay Shore, NY 11706-8327 Not confirmed with CMS for 15 years — call before visiting
Phone: (631) 604-4020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Contractor (primary) Taxonomy 171W00000X

Record details

NPI number1649575242
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Patricia Brezault — Administrator · (631) 604-4020
NPI enumeratedJanuary 13, 2011
Last updated in NPPESJanuary 24, 2011
Mailing address56 W Main St Ste 203, Bay Shore, NY 11706-8327

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