307 Long Island Medical PC
NPI #1023206026 in Great Neck, New York
Provider Information
- NPI Number
- 1023206026
- Entity Type
- Organization
- Organization Name
- 307 Long Island Medical PC
- Primary Specialty
- Anesthesiology
- Enumeration Date
- Oct 4, 2007
- Last Updated
- Oct 4, 2007
Practice Location
- Address
- 307 E SHORE RD
- Address 2
- 2ND FLOOR
- City
- Great Neck
- State
- New York
- ZIP Code
- 11023-2420
- Phone
- (516) 487-5858
Authorized Official
- Name
- MRS. SHANTA MALLIKARJUNA
- Title
- OFFICE MANAGER
- Phone
- 15164875858
Specialties & Taxonomy Codes
| Specialty |
|---|
| Anesthesiology |
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