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

Southside Hospital

Organization Pain Medicine (Anesthesiology) Physician · NPI 1851643704

Southside Hospital is a Pain Medicine (Anesthesiology) Physician in Bay Shore, New York. Registered with an NPI since 2012.

In the registry since
2012
Specialties on file
2

Practice location Address checks out

301 E Main St
Bay Shore, NY 11706-8408
Phone: (631) 422-6166
Fax: (631) 422-6269
Show map & directions

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

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X
Pain Medicine (Anesthesiology) Physician Taxonomy 207LP2900X

Record details

NPI number1851643704
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Shapiro — Executive Vp And Cfo · (516) 465-8182
NPI enumeratedOctober 2, 2012
Last updated in NPPESOctober 2, 2012
Mailing addressPo Box 417683, Boston, MA 02241-7640

Other providers in Bay Shore