Organization
LONG ISLAND MEDICAL INTERVENTIONAL SERVICES PLLC
Active
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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