Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

North Shore Medical Group of Mt Sinai School of Medicine

Organization Pediatric Urology Physician · NPI 1639317043

North Shore Medical Group of Mt Sinai School of Medicine is a Pediatric Urology Physician in Huntington, New York. Registered with an NPI since 2009.

In the registry since
2009

Practice location Address checks out

21 Southdown Rd
Huntington, NY 11743-2538
Phone: (631) 351-3763
Fax: (631) 385-8210
Show map & directions

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

Specialties & licences

Pediatric Urology Physician (primary) Taxonomy 2088P0231X

Record details

NPI number1639317043
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Janet Street — Practice Administrator · (631) 351-3703
Other names North Shore Medical Group
NPI enumeratedJanuary 23, 2009
Last updated in NPPESJanuary 23, 2009
Mailing address21 Southdown Rd, Huntington, NY 11743-2538