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Organization
GENERAL AND VASCULAR SURGERY OF LONG ISLAND PC
Active
Organization
GENERAL AND VASCULAR SURGERY OF LONG ISLAND PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY COLANTONIO (OWNER/PRESIDENT)
(718) 346-3355
Entity
Organization
Contact information
Practice address
434 ROCKAWAY AVE, BROOKLYN, NY 11212-5636
(718) 346-2628
(516) 248-3044
Mailing address
520 FRANKLIN AVE, SUITE 151, GARDEN CITY, NY 11530-5801
(516) 746-3310
(516) 746-5610
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
208600000X
Surgery Physician
163260
NY
Other
Enumeration date
11/15/2006
Last updated
02/24/2021
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