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

Southside Hospital Department of Cardiology

Organization Cardiovascular Disease Physician · NPI 1649305228

Southside Hospital Department of Cardiology provides Cardiovascular Disease Physician services in Bay Shore, New York. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

301 E Main St
Bay Shore, NY 11706-8408 Not confirmed with CMS for 18 years — call before visiting
Phone: (631) 968-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X

Record details

NPI number1649305228
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSouthside Hospital
Authorized official Winifred Mack — Executive Director · (631) 968-3000
NPI enumeratedFebruary 22, 2007
Last updated in NPPESFebruary 7, 2008
Mailing address301 E Main St, Bay Shore, NY 11706-8408

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