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

Southside Hospital Department of Neurology

Organization Neurology Physician · NPI 1578511127

Southside Hospital Department of Neurology provides Neurology Physician services in Bay Shore, New York. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

301 E Main St
Bay Shore, NY 11706-8408 Not confirmed with CMS for 19 years — call before visiting
Phone: (631) 968-3000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X

Record details

NPI number1578511127
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSouthside Hospital
Authorized official Winifred Mack — Cfo · (631) 675-4149
NPI enumeratedMay 5, 2006
Last updated in NPPESOctober 9, 2007
Mailing address301 E Main St, Bay Shore, NY 11706-8408

Other providers in Bay Shore