Orthopedic Assoc of Long Island Physicians & Medical Group Pllc

NPI #1164074373 in Patchogue, New York

Provider Information

NPI Number
1164074373
Entity Type
Organization
Organization Name
Orthopedic Assoc of Long Island Physicians & Medical Group Pllc
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Jul 9, 2019
Last Updated
Jul 9, 2019

Practice Location

Address
55 MEDFORD AVE UNIT E
ZIP Code
11772-1229
Phone
(631) 689-6698

Authorized Official

Name
STEVEN M PUOPOLO
Title
PRINCIPLE PHYSICIAN
Phone
(631) 689-6698

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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