Organization
GENERAL AND VASCULAR SURGERY OF LONG ISLAND PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY COLANTONIO (OWNER/PRESIDENT)
(718) 346-3355
Entity
Organization
Contact information
Practice address
434 ROCKAWAY AVE, BROOKLYN, NY 11212-5636
(718) 346-2628
(516) 248-3044
Mailing address
520 FRANKLIN AVE, SUITE 151, GARDEN CITY, NY 11530-5801
(516) 746-3310
(516) 746-5610
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208600000X
Surgery Physician
163260
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01513024
—
NY
05
—
01616568
—
NY
Enumeration date
11/15/2006
Last updated
02/24/2021
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