# ISLAND MEDICAL LASER, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Island Integrative Medical Wellness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144786914
- **Authorized official:** MR. VARUN BAJAJ (ADMIN)
- **Authorized official phone:** (718) 554-1042

## Contact information

- **Practice address:** 118 GLEN COVE RD, ROSLYN HEIGHTS, NY 11577-1718
- **Practice address phone:** (718) 554-1042
- **Mailing address:** 425 BROADHOLLOW RD STE 427, MELVILLE, NY 11747-4701

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | NULL | Yes |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/15/2019
- **Last updated:** 02/15/2019