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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