Long Island Surgical Specialist, P.c.
NPI #1932170255 in Port Washington, New York
Provider Information
- NPI Number
- 1932170255
- Entity Type
- Organization
- Organization Name
- Long Island Surgical Specialist, P.c.
- Primary Specialty
- Exclusive Provider Organization
- Enumeration Date
- Jan 27, 2006
- Last Updated
- Sep 15, 2015
Practice Location
- Address
- 639 PORT WASHINGTON BLVD
- City
- Port Washington
- State
- New York
- ZIP Code
- 11050-3733
- Phone
- (516) 883-2212
Authorized Official
- Name
- DR. RENATO B BERROYA, M.D., F.A.C.S.
- Title
- OWNER
- Phone
- (516) 883-2212
Specialties & Taxonomy Codes
| Specialty |
|---|
| Exclusive Provider Organization |
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