# LONG ISLAND DIABETES & ENDOCRINOLOGY, PC

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

## Provider details

- **NPI number:** 1770727935
- **Authorized official:** MR. BARBARA H O'BRIEN (OFFICE ADMINISTRATOR)
- **Authorized official phone:** (631) 941-1000

## Contact information

- **Practice address:** 421 DEER PARK AVE, BABYLON, NY 11702-2313
- **Practice address phone:** (631) 941-1000
- **Practice address fax:** (631) 941-1010
- **Mailing address:** 415 GARDEN ST, BELLMORE, NY 11710-4517
- **Mailing address phone:** (631) 941-1000
- **Mailing address fax:** (631) 941-1010

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 2075821 | NY | Yes |

## Other

- **Enumeration date:** 04/30/2009
- **Last updated:** 04/30/2009