# NASSAU-SUFFOLK MEDICAL SERVICES, P.C.

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

## Provider details

- **NPI number:** 1972914596
- **Authorized official:** KEVIN MULLINS MD (OWNER)
- **Authorized official phone:** (833) 774-6333

## Contact information

- **Practice address:** 1175 MONTAUK HWY, SUITE 6, WEST ISLIP, NY 11795-4939
- **Practice address phone:** (833) 547-7463
- **Practice address fax:** (631) 647-3070
- **Mailing address:** 1175 MONTAUK HWY, SUITE 6, WEST ISLIP, NY 11795-4939
- **Mailing address phone:** (833) 547-7463
- **Mailing address fax:** (631) 644-7030

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 261853 | NY | — |
| 207L00000X | Anesthesiology Physician | 265787 | NY | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 261853 | NY | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 265787 | NY | Yes |
| 207T00000X | Neurological Surgery Physician | 190377 | NY | — |

## Other

- **Enumeration date:** 05/16/2014
- **Last updated:** 12/22/2021