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Organization
LONG ISLAND THORACIC SURGERY P.C.
Active
Organization
LONG ISLAND THORACIC SURGERY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURA KOSOVOI (ADMINISTRATOR)
(516) 255-5010
Entity
Organization
Contact information
Practice address
444 MERRICK RD, SUITE 380, LYNBROOK, NY 11563-2460
(516) 255-5010
(516) 255-5020
Mailing address
444 MERRICK RD, SUITE 380, LYNBROOK, NY 11563-2460
(516) 255-5010
(516) 255-5020
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
W4X051
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01280588
—
NY
05
—
02170116
—
NY
Enumeration date
06/04/2007
Last updated
08/22/2020
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