Organization
LI PREMIER MEDICAL CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR HUGO TARANTO M.D., D.O. (PRESIDENT)
(516) 872-0922
Entity
Organization
Contact information
Practice address
15 FLETCHER AVE, VALLEY STREAM, NY 11580-4000
(516) 872-0922
(516) 872-5927
Mailing address
3235 ILENE LN, LEVITTOWN, NY 11756-2813
(516) 872-0922
(516) 872-5927
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2292291
NY
Other
Enumeration date
11/29/2012
Last updated
03/11/2013
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