# GENERAL AND VASCULAR SURGERY OF LONG ISLAND PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174695068
- **Authorized official:** ANTHONY COLANTONIO (OWNER/PRESIDENT)
- **Authorized official phone:** (718) 346-3355

## Contact information

- **Practice address:** 434 ROCKAWAY AVE, BROOKLYN, NY 11212-5636
- **Practice address phone:** (718) 346-2628
- **Practice address fax:** (516) 248-3044
- **Mailing address:** 520 FRANKLIN AVE, SUITE 151, GARDEN CITY, NY 11530-5801
- **Mailing address phone:** (516) 746-3310
- **Mailing address fax:** (516) 746-5610

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 208600000X | Surgery Physician | 163260 | NY | — |

## Other

- **Enumeration date:** 11/15/2006
- **Last updated:** 02/24/2021