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
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 MedicinePain Medicine

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