Lifeline Medical PC

NPI #1700112158 in Freeport, New York

Provider Information

NPI Number
1700112158
Entity Type
Organization
Organization Name
Lifeline Medical PC
Primary Specialty
Neurological Surgery
Enumeration Date
Oct 20, 2009
Last Updated
Oct 20, 2009

Practice Location

Address
121 S OCEAN AVE
Address 2
SUITE 2
ZIP Code
11520-4558
Phone
(212) 255-2333

Authorized Official

Name
OMAR GUTIERREZ
Title
PRESIDENT
Phone
(212) 255-2333

Specialties & Taxonomy Codes

Specialty
Neurological Surgery

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