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

South Shore Family Practice Associates PC

Organization Family Medicine Physician · NPI 1306971825

South Shore Family Practice Associates PC is a Family Medicine Physician in East Islip, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

369 E Main St Ste 3
East Islip, NY 11730-2800
Phone: (631) 581-4500
Fax: (631) 581-5905
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 190554 (NY)

Record details

NPI number1306971825
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Giel — Office Manager · (631) 581-4500
NPI enumeratedFebruary 23, 2007
Last updated in NPPESAugust 22, 2020
Mailing address369 E Main St, Suite 3, East Islip, NY 11730-2800

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