Organization
ORTHOPEDIC ASSOCIATES OF LONG ISLAND LLP
Active
Organization
ORTHOPEDIC ASSOCIATES OF LONG ISLAND LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE GMYTRASIEWICZ (ADMINISTRATOR)
(631) 689-6698
Entity
Organization
Contact information
Practice address
66 COMMACK RD, SUITE 306, COMMACK, NY 11725-3405
(631) 689-6698
(631) 751-5548
Mailing address
6 TECHNOLOGY DR, SUITE 100, EAST SETAUKET, NY 11733-4079
(631) 689-6698
(631) 751-5548
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
09/05/2014
Last updated
10/20/2014
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