Organization · Type 2 NPI
Long Island Laparoscopic Surgery,p.l.l.c.
Specialist · Port Jefferson, NY
NPI number
1881997724
Active
Practice location
625 Belle Terre Road, Suite 202
Port Jefferson, NY 11777-2316
Fax (631) 686-7626
Mailing address
625 Belle Terre Rd, Suite 202
Port Jefferson, NY 11777-2316
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 221256 (NY) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1881997724
Long Island Laparoscopic Surgery,p.l.l.c.'s National Provider Identifier is 1881997724, issued on Dec 15, 2010. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Port Jefferson, NY. The record was last updated on Dec 15, 2010.