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

South Shore Bay Shore Medical PC

Organization Family Medicine Physician · NPI 1134848070

South Shore Bay Shore Medical PC is a Family Medicine Physician in Bay Shore, New York. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

24 Brentwood Rd # D
Bay Shore, NY 11706-8011
Phone: (631) 647-4567
Fax: (631) 647-4568
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1134848070
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Heather Ochoa — Manager · (631) 833-3026
NPI enumeratedAugust 24, 2022
Last updated in NPPESOctober 25, 2023
Certification dateOctober 25, 2023
Mailing address24 Brentwood Rd # D, Bay Shore, NY 11706-8011

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