Long Island Medical Office Based Surgery Pllc

NPI #1417187485 in Plainview, New York

Provider Information

NPI Number: 1417187485
Entity Type: Organization
Organization Name: Long Island Medical Office Based Surgery Pllc
Primary Specialty: Clinic/Center - Ambulatory Fertility Facility
Enumeration Date: Jul 23, 2009
Last Updated: Jul 23, 2009

Practice Location

Address: 1074 OLD COUNTRY RD
City: Plainview
State: New York
ZIP Code: 11803-4918
Phone: (516) 939-6695

Authorized Official

Name: DR. DAVID KREINER, MD
Title: PRESIDENT/CEO
Phone: (516) 939-6695

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Ambulatory Fertility Facility — Ambulatory Fertility Facility	261QA0006X	Primary

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