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Contact Information

LONG ISLAND SURGERY P.C.
4 PHYLLIS DRIVE
PATCHOGUE, NY11772
 Phone: 631-289-4700
 Fax: 631-289-4718
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for LONG ISLAND SURGERY PC · (Female)

NPI Number 1790716546
Status Active
Credentials
Entity Individual
Enumeration date 07/06/2006
Last updated 02/26/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY License # 194796
  • NY Medicaid 01762005
  • NY Other 020038452 MCR RR
  • NY Other P773785 OXF
  • NY Other 5020361 SUFFOLK HEALTHPLAN
Hospital affiliation(s) Not Available
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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