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Organization
LONG ISLAND PHYSICIAN AFFILIATES, PLLC
Active
Organization
LONG ISLAND PHYSICIAN AFFILIATES, PLLC
Active
Parent organization
LONG ISLAND PHYSICIAN ASSOCIATES, PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LONG ISLAND PHYSICIAN ASSOCIATES, PLLC
Authorized official
JOHN VON LINTIG (CHIEF OPERATING OFFICER)
(631) 503-1400
Entity
Organization
Contact information
Practice address
635 BELLE TERRE RD STE 209, PORT JEFFERSON, NY 11777-1935
(631) 503-1400
Mailing address
333 ROUTE 25A STE 225, ROCKY POINT, NY 11778-8802
(631) 503-1400
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
12/06/2017
Last updated
03/17/2021
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