# LONG ISLAND HEALTH & WELLNESS FAMILY MEDICINE, P.C.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1487731279
- **Authorized official:** DR. DONATO MICHAEL BALSAMO D.O. (PRESIDENT)
- **Authorized official phone:** (631) 691-1500

## Contact information

- **Practice address:** 197 BROADWAY, AMITYVILLE, NY 11701
- **Practice address phone:** (631) 691-1500
- **Practice address fax:** (631) 691-1503
- **Mailing address:** 282A HIGBIE LANE, \#279, WEST ISLIP, NY 11795
- **Mailing address phone:** (631) 691-1500
- **Mailing address fax:** (631) 691-1503

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 209721 | NY | Yes |

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 08/22/2020