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

Southside Hospital Department of Pathology

Organization Anatomic Pathology & Clinical Pathology Physician · NPI 1760448260

Southside Hospital Department of Pathology is an Anatomic Pathology & Clinical Pathology 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) 675-4149
Show map & directions

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

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X

Record details

NPI number1760448260
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSouthside Hospital
Authorized official Winifred Mack — Cfo · (631) 968-9000
NPI enumeratedApril 24, 2006
Last updated in NPPESOctober 9, 2007
Mailing address301 E Main St, Bay Shore, NY 11706-8408

Other providers in Bay Shore