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

Southshore Medical Practice Management, Inc

Organization Contractor · NPI 1649575242

Southshore Medical Practice Management, Inc is a Contractor in Bay Shore, New York. Registered with an NPI since 2011.

In the registry since
2011
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

56 W Main St Ste 203
Bay Shore, NY 11706-8327
Phone: (631) 604-4020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Contractor (primary) Taxonomy 171W00000X

Record details

NPI number1649575242
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Patricia Brezault — Administrator · (631) 604-4020
NPI enumeratedJanuary 13, 2011
Last updated in NPPESJanuary 24, 2011
Mailing address56 W Main St Ste 203, Bay Shore, NY 11706-8327

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