# ISLAND EYE SURGICENTER LLC

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

## Provider details

- **NPI number:** 1629152053
- **Authorized official:** SARAH MALANIAK (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (516) 877-2400

## Contact information

- **Practice address:** 1500 JERICHO TPKE, WESTBURY, NY 11590-1045
- **Practice address phone:** (516) 877-2400
- **Practice address fax:** (516) 877-1879
- **Mailing address:** 825 E GATE BLVD STE 111, GARDEN CITY, NY 11530-2136
- **Mailing address phone:** (516) 877-2400
- **Mailing address fax:** (516) 877-1879

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 2951205R | NY | Yes |

## Other

- **Enumeration date:** 10/24/2006
- **Last updated:** 08/27/2020
