# LONG ISLAND VASCULAR & SURGICAL, PC

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

## Provider details

- **NPI number:** 1306896410
- **Authorized official:** XENOPHON P XENOPHONTOS M.D. (PRESIDENT)
- **Authorized official phone:** (516) 227-2721

## Contact information

- **Practice address:** 585 STEWART AVE, SUITE LL-16, GARDEN CITY, NY 11530-4783
- **Practice address phone:** (516) 227-2721
- **Practice address fax:** (516) 227-0564
- **Mailing address:** 585 STEWART AVE, SUITE LL-16, GARDEN CITY, NY 11530-4783
- **Mailing address phone:** (516) 227-2721
- **Mailing address fax:** (516) 227-0564

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/11/2006
- **Last updated:** 08/22/2020