# LONG ISLAND PHYSICIAN AFFILIATES, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LONG ISLAND PHYSICIAN ASSOCIATES, PLLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1134634645
- **Legal business name:** LONG ISLAND PHYSICIAN ASSOCIATES, PLLC
- **Authorized official:** JOHN VON LINTIG (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (631) 503-1400

## Contact information

- **Practice address:** 635 BELLE TERRE RD STE 209, PORT JEFFERSON, NY 11777-1935
- **Practice address phone:** (631) 503-1400
- **Mailing address:** 333 ROUTE 25A STE 225, ROCKY POINT, NY 11778-8802
- **Mailing address phone:** (631) 503-1400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/06/2017
- **Last updated:** 03/17/2021