Long Island Physician Associates, Pllc
NPI #1871906941 in Port Jefferson, New York
Provider Information
- NPI Number
- 1871906941
- Entity Type
- Organization
- Organization Name
- Long Island Physician Associates, Pllc
- Primary Specialty
- Surgery
- Enumeration Date
- Jun 6, 2014
- Last Updated
- Mar 17, 2021
Practice Location
- Address
- 70 N COUNTRY RD
- Address 2
- SUITE 203
- City
- Port Jefferson
- State
- New York
- ZIP Code
- 11777-2161
- Phone
- (631) 474-0707
Authorized Official
- Name
- MR. JOHN VON LINTIG
- Title
- CHIEF OPERATING OFFICER
- Phone
- (631) 503-1400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Surgery |
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| Edward B Borden, M.D. |
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