Surgical Specialist Of Long Island, Pc

LBN: Surgical Specialist Of Long Island, Pc
Surgical Specialist Of Long Island, Pc is an health care organization with primary practice located at 2171 Jericho Tpke Ste 100 , Commack NY 11725-2900. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Surgical Specialist Of Long Island, Pc can be contacted via phone (631) 486-5030, or through Martinez, Tara Dawn via phone (631) 486-5030.

Contact Information

Primary practice address
2171 Jericho Tpke Ste 100 Commack NY 11725-2900
Phone: (631) 486-5030
Fax: (631) 724-4229
Website:
Map and Directions
Authorized official contact:
Name: Martinez, Tara Dawn Doctor of Osteopathy (DO)
Phone: (631) 486-5030

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1871996223
LBN Legal business name Surgical Specialist Of Long Island, Pc
DBA Doing business as
Authorized official Martinez, Tara Dawn Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 30th, 2014
Last updated Apr 21st, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871996223 NPPES
New York MEDICAID 03582670

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