South Shore Thoracic & Cardiovascular Surgical Group Pc

Specialty details in registry · Far Rockaway, NY

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At a glance

5115 Beach Channel Dr, Far Rockaway, NY 11691

NPPES record updated Aug 22, 2020. Public records can lag behind changes at a practice.

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Practice location

5115 Beach Channel Dr Suite 418
Far Rockaway, NY 11691
Professional details: NPI, taxonomy & registry record
NPI1275671604
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
208G00000X
Enumeration date
Feb 1, 2007
Record updated
Aug 22, 2020
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

208G00000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

5115 Beach Channel Dr
Suite 418
Far Rockaway, NY 11691
Phone
(718) 734-2300
Fax
(718) 734-2430
Mailing address
5115 BEACH CHANNEL DRIVE
SUITE 418
FAR ROCKAWAY, NY 11691
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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