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Organization
LONG ISLAND MEDICAL OFFICE, PLLC
Active
Organization
LONG ISLAND MEDICAL OFFICE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARVIN SWANSON M.D. (EXECUTIVE DIRECTOR)
(631) 656-8270
Entity
Organization
Contact information
Practice address
363 ROUTE 111, SUITE 107B, SMITHTOWN, NY 11787-4756
(631) 656-8270
(631) 406-6529
Mailing address
363 ROUTE 111, SUITE 107B, SMITHTOWN, NY 11787-4756
(631) 656-8270
(631) 406-6529
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
09/09/2015
Last updated
09/09/2015
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