Long Island Medical Practice LLC

NPI #1841572096 in Westbury, New York

Provider Information

NPI Number: 1841572096
Entity Type: Organization
Organization Name: Long Island Medical Practice LLC
Primary Specialty: Internal Medicine
Enumeration Date: Sep 14, 2011
Last Updated: Sep 14, 2011

Practice Location

Address: 41 GREENTREE CIR
City: Westbury
State: New York
ZIP Code: 11590-1510
Phone: (516) 503-7032

Authorized Official

Name: DR. RAKESH K KOUL, M.D
Title: OWNER
Phone: (516) 503-7032

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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