307 Long Island Medical Pc

NPI 1023206026 - Anesthesiology - 207L00000X

NPI Details
NPI 1023206026
Enumeration Date 10/04/2007
Last Updated 10/04/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name SHANTA SHANTA
Position OFFICE MANAGER
Phone (516) 487-5858
Fax (516) 487-3133
Practice Location
307 E SHORE RD
2ND FLOOR
GREAT NECK NY, 11023-2420, US
Phone (516) 487-5858
Fax (516) 487-3133
Business Location
307 E SHORE RD
2ND FLOOR
GREAT NECK NY, 11023-2420, US
Phone (516) 487-5858
Fax
Toxanomy
Taxonomy Code 207L00000X
License State New York
License Number 227976-1
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According to our database, 307 Long Island Medical Pc NPI is 1023206026, taxonomy code is 207L00000X and license number is 227976-1, license state is located at New York. 307 Long Island Medical Pc physically located at 307 E Shore Rd, Great Neck NY, 11023-2420. NPI Number 1033115704 has the healthcare provider type.

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1023206026 NPI number is provided on an as is basis without warranty of any kind. 1023206026 is maintained by the National Plan & Provider Enumeration System. The contents of 307 Long Island Medical Pc are for informational purposes only.