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Organization

LONG ISLAND PROFESSIONAL MEDICAL SERVICES PC

Active
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Organization

LONG ISLAND PROFESSIONAL MEDICAL SERVICES PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PHILIP FORTUNATO SPADAFORA DO (PHYSICIAN PRESIDENT)
(516) 877-1518
Entity
Organization

Contact information

Practice address
901 STEWART AVE, STE 275, GARDEN CITY, NY 11530
(516) 877-1518
(516) 877-1561
Mailing address
901 STEWART AVE, STE 275, GARDEN CITY, NY 11530
(516) 877-1518
(516) 877-1561

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1878871
NY

Other

Enumeration date
05/17/2006
Last updated
05/15/2024
About Stedi
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