OrganizationNorth Shore Infectious Diseases Consultants, PcInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address2200 Northern Blvd Ste 205, Greenvale, NY 11548-1220(516) 767-7771PECOS EnrollmentBased on the most recent information from CMS, provider North Shore Infectious Diseases Consultants, Pc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1114974094Provider TypeOrganizationFull NameNorth Shore Infectious Diseases Consultants, PcSubpartNoEnumeration Date5/27/2006Last Updated4/5/2024Contact InformationPractice LocationPractice Address2200 Northern Blvd Ste 205, Greenvale, NY 11548-1220Phone(516) 767-7771Fax(516) 767-7765Mailing LocationMailing Address2200 Northern Blvd Ste 205, Greenvale, NY 11548-1220Phone(516) 767-7771Fax(516) 767-7765Authorized OfficialNameRodriguez, Angie (Practice Administrator)Phone(516) 767-7771Provider TaxonomiesCodeDescriptionLicenseCode207RI0200XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID01175960DescriptionMedicaidIssuerUnlistedNew York