Organization
ALL ISLAND MEDICAL SERVICES. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC FANAEE M.D. (CEO)
(929) 444-2535
Entity
Organization
Contact information
Practice address
1717 VETERANS MEMORIAL HIGHWAY, SUITE 2, ISLANDIA, NY 11749
(929) 444-2535
Mailing address
1717 VETERANS MEMORIAL HIGHWAY, SUITE 2, ISLANDIA, NY 11749
(929) 444-2535
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
207T00000X
Neurological Surgery Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
Other
Enumeration date
04/01/2020
Last updated
04/01/2020
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