L.i. Office-Based Surgery, Pllc

NPI #1013121409 in Plainview, New York

Provider Information

NPI Number
1013121409
Entity Type
Organization
Organization Name
L.i. Office-Based Surgery, Pllc
Primary Specialty
Dermatology - MOHS-Micrographic Surgery
Enumeration Date
May 9, 2007
Last Updated
Jun 18, 2008

Practice Location

Address
875 OLD COUNTRY RD
Address 2
SUITE 300
ZIP Code
11803-4942
Phone
(516) 433-2424

Authorized Official

Name
DOMENICO VALENTE, M.D.
Title
OWNER
Phone
(516) 433-2424

Specialties & Taxonomy Codes

Specialty
Surgery - Plastic and Reconstructive SurgeryPlastic and Reconstructive Surgery
Dermatology - MOHS-Micrographic SurgeryMOHS-Micrographic Surgery

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