Organization
ISLANDWIDE MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINOD KHANIJO MD (OWNER)
(516) 449-4099
Entity
Organization
Contact information
Practice address
275 HELM LN, BAY SHORE, NY 11706-8118
(516) 449-4099
(631) 968-1317
Mailing address
275 HELM LN, BAY SHORE, NY 11706-8118
(516) 449-4099
(631) 968-1317
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
138934
NY
Other
Enumeration date
06/13/2016
Last updated
06/13/2016
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