Organization
LONG ISLAND MEDICAL INTERVENTIONAL SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRUSHA NARENDRA SHAH MD (CEO)
(516) 605-0600
Entity
Organization
Contact information
Practice address
4273 HEMPSTEAD TPKE, BETHPAGE, NY 11714-5710
(516) 605-0600
(516) 321-0713
Mailing address
PO BOX 676, SYOSSET, NY 11791-0676
(516) 605-0600
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
208VP0000X
Pain Medicine Physician
—
—
Other
Enumeration date
08/04/2021
Last updated
12/05/2023
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