Organization
ISLAND SURGICAL GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA JAHANGIR (MANAGER)
(718) 238-6100
Entity
Organization
Contact information
Practice address
1835 BAY RIDGE PKWY FL 2, BROOKLYN, NY 11204-5706
(718) 238-6100
(718) 680-7969
Mailing address
1835 BAY RIDGE PKWY FL 2, BROOKLYN, NY 11204-5706
(718) 238-6100
(718) 680-7969
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
147085
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00834253
—
NY
01
—
1205872702
NPI
NY
Enumeration date
06/22/2006
Last updated
03/17/2018
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