South Nassau Orthopedic Surgery And Sports Medicine, P.c.

NPI 1154332344 - Specialist - 174400000X

NPI Details
NPI 1154332344
Enumeration Date 08/11/2006
Last Updated 08/24/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name RICHARD L RICHARD
Position PRESIDENT
Phone (516) 825-1101
Fax (516) 568-2840
Practice Location
64 S CENTRAL AVE
VALLEY STREAM NY, 11580-5407, US
Phone (516) 825-1101
Fax (516) 568-2840
Business Location
64 S CENTRAL AVE
VALLEY STREAM NY, 11580-5407, US
Phone (516) 825-1101
Fax (516) 568-2840
Toxanomy
Taxonomy Code 174400000X
License State New York
License Number 131901
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According to our database, South Nassau Orthopedic Surgery And Sports Medicine, P.c. NPI is 1154332344, taxonomy code is 174400000X and license number is 131901, license state is located at New York. South Nassau Orthopedic Surgery And Sports Medicine, P.c. physically located at 64 S Central Ave, Valley Stream NY, 11580-5407. NPI Number 1033115704 has the healthcare provider type.

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1154332344 NPI number is provided on an as is basis without warranty of any kind. 1154332344 is maintained by the National Plan & Provider Enumeration System. The contents of South Nassau Orthopedic Surgery And Sports Medicine, P.c. are for informational purposes only.