Organization
L.I. OFFICE-BASED SURGERY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMENICO VALENTE M.D. (OWNER)
(516) 433-2424
Entity
Organization
Contact information
Practice address
875 OLD COUNTRY RD, SUITE 300, PLAINVIEW, NY 11803-4942
(516) 433-2424
(516) 433-1065
Mailing address
875 OLD COUNTRY RD, SUITE 300, PLAINVIEW, NY 11803-4942
(516) 433-2424
(516) 433-1065
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
—
—
2086S0122X
Plastic and Reconstructive Surgery Physician
—
—
Other
Enumeration date
05/09/2007
Last updated
06/18/2008
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