Long Island Physician Affiliates, Pllc
NPI #1134634645 in Port Jefferson, New York
Provider Information
- NPI Number
- 1134634645
- Entity Type
- Organization
- Organization Name
- Long Island Physician Affiliates, Pllc
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- LONG ISLAND PHYSICIAN ASSOCIATES, PLLC
- Primary Specialty
- Anesthesiology - Pain Medicine
- Enumeration Date
- Dec 6, 2017
- Last Updated
- Mar 17, 2021
Practice Location
- Address
- 635 BELLE TERRE RD STE 209
- City
- Port Jefferson
- State
- New York
- ZIP Code
- 11777-1935
- Phone
- (631) 503-1400
Authorized Official
- Name
- JOHN VON LINTIG
- Title
- CHIEF OPERATING OFFICER
- Phone
- (631) 503-1400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Anesthesiology - Pain Medicine — Pain Medicine |
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| DR. Brian Durkin, D.O. | |
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| David H Rebuck, DO |
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