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

Southside Hospital Department of Neurology

Organization Neurology Physician · NPI 1578511127

Southside Hospital Department of Neurology is a Neurology Physician in Bay Shore, New York. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

301 E Main St
Bay Shore, NY 11706-8408
Phone: (631) 968-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X

Record details

NPI number1578511127
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSouthside Hospital
Authorized official Winifred Mack — Cfo · (631) 675-4149
NPI enumeratedMay 5, 2006
Last updated in NPPESOctober 9, 2007
Mailing address301 E Main St, Bay Shore, NY 11706-8408

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