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Contact Information

LONG ISLAND PHYSICIAN AFFILIATES, PLLC
635 BELLE TERRE RD STE 209
PORT JEFFERSON, NY11777-1935
 Phone: 631-503-1400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for LONG ISLAND PHYSICIAN AFFILIATES, PLLC

NPI # 1134634645
LBN Legal business name LONG ISLAND PHYSICIAN AFFILIATES, PLLC
Authorized official JOHN VON LINTIG - (CHIEF OPERATING OFFICER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 12/06/2017
Last updated 03/17/2021 - About 5 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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