Organization
PATHOLOGY AND LABORATORY CONSULTANTS OF LONG ISLAND, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM ENGELLENNER M.D. (DIRECTOR OF OPERATIONS)
(631) 376-3990
Entity
Organization
Contact information
Practice address
1000 MONTAUK HWY, WEST ISLIP, NY 11795-4927
(631) 376-3000
Mailing address
6390 FLY RD, EAST SYRACUSE, NY 13057-9349
(877) 401-8406
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
182397
NY
Other
Enumeration date
08/19/2005
Last updated
10/29/2018
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