# ISLAND PLASTIC SURGERY, PC

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

## Provider details

- **NPI number:** 1679228993
- **Authorized official:** ADRIANA PUGLISI (BILLING/PRACTICE MANAGER)
- **Authorized official phone:** (631) 540-0022

## Contact information

- **Practice address:** 329 E MAIN ST STE 4, SMITHTOWN, NY 11787-2821
- **Practice address phone:** (631) 540-0022
- **Practice address fax:** (631) 540-0030
- **Mailing address:** 329 E MAIN ST STE 4, SMITHTOWN, NY 11787-2821
- **Mailing address phone:** (631) 540-0022
- **Mailing address fax:** (631) 540-0030

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208200000X | Plastic Surgery Physician | — | NULL | — |
| 208200000X | Plastic Surgery Physician | — | — | — |
| 2086S0105X | Surgery of the Hand (Surgery) Physician | — | NULL | Yes |
| 2086S0105X | Surgery of the Hand (Surgery) Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/15/2022
- **Last updated:** 02/15/2022