L.i. Office-based Surgery, Pllc

NPI 1013121409 - Surgery - 2086S0122X

NPI Details
NPI 1013121409
Enumeration Date 05/09/2007
Last Updated 06/18/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name DOMENICO DOMENICO
Position OWNER
Phone (516) 433-2424
Fax (516) 433-1065
Practice Location
875 OLD COUNTRY RD
SUITE 300
PLAINVIEW NY, 11803-4942, US
Phone (516) 433-2424
Fax (516) 433-1065
Business Location
875 OLD COUNTRY RD
SUITE 300
PLAINVIEW NY, 11803-4942, US
Phone (516) 433-2424
Fax (516) 433-1065
Toxanomy
Taxonomy Code 2086S0122X
License State
License Number
Remove 1013121409 NPI Number
 

According to our database, L.i. Office-based Surgery, Pllc NPI is 1013121409, taxonomy code is 2086S0122X L.i. Office-based Surgery, Pllc physically located at 875 Old Country Rd, Plainview NY, 11803-4942. NPI Number 1033115704 has the healthcare provider type.

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1013121409 NPI number is provided on an as is basis without warranty of any kind. 1013121409 is maintained by the National Plan & Provider Enumeration System. The contents of L.i. Office-based Surgery, Pllc are for informational purposes only.