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

South Shore Physicians, PC

Organization Internal Medicine Physician · NPI 1093745333

South Shore Physicians, PC is an Internal Medicine Physician in Staten Island, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
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

3589 Hylan Blvd
Staten Island, NY 10308-3513
Phone: (718) 966-3700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 162022 (NY)

Record details

NPI number1093745333
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Gazzara — Administrator · (718) 966-3700
NPI enumeratedJuly 3, 2006
Last updated in NPPESNovember 5, 2014
Mailing address3589 Hylan Blvd, Staten Island, NY 10308-3513

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