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Contact Information

GARY J SHORE, MD
31 MERRICK AVE
SUITE 230
MERRICK, NY11566-3477
 Phone: 516-377-2820
 Fax: 516-378-2968
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for GARY J SHORE · (Male)

NPI Number 1659354942
Status Active
Credentials MD
Entity Individual
Enumeration date 11/21/2005
Last updated 04/20/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 179490
  • NY Medicaid 01432833
Hospital affiliation(s)
  • NORTH SHORE UNIVERSITY HOSPITAL - (Acute Care)
    300 COMMUNITY DRIVE
    MANHASSET, NY 11030
  • NYU HOSPITALS CENTER - (Acute Care)
    550 FIRST AVENUE
    NEW YORK, NY 10016
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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