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Organization
ISLAND PHYSICIAN SERVICES, PLLC
Active
Organization
ISLAND PHYSICIAN SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS TARRICONE MD MHA FACOG (OWNER)
(516) 678-4000
Entity
Organization
Contact information
Practice address
2000 N VILLAGE AVE, SUITE 109, ROCKVILLE CENTRE, NY 11570-1078
(516) 678-4000
(516) 678-9573
Mailing address
2000 N VILLAGE AVE, SUITE 109, ROCKVILLE CENTRE, NY 11570-1078
(516) 678-4000
(516) 678-9573
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
176675
NY
Other
Enumeration date
04/03/2012
Last updated
04/03/2012
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