# ISLAND ENDOSCOPY CENTER LLC

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

## Provider details

- **NPI number:** 1598905317
- **Authorized official:** MS. NORA VIOLA (ADMINISTRATOR)
- **Authorized official phone:** (631) 482-1652

## Contact information

- **Practice address:** 1175 MONTAUK HWY, WEST ISLIP, NY 11795-4939
- **Practice address phone:** (631) 482-1652
- **Practice address fax:** (631) 482-1656
- **Mailing address:** 1175 MONTAUK HWY, SUITE 1, WEST ISLIP, NY 11795-4939
- **Mailing address phone:** (631) 482-1652
- **Mailing address fax:** (631) 482-1656

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |
| 261QE0800X | Endoscopy Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 03/06/2009
- **Last updated:** 06/07/2010