Organization
LI MEDICAL CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EVAN BRUCE SHAPIRO MD (PRESIDENT)
(516) 680-3900
Entity
Organization
Contact information
Practice address
87 S OCEAN AVE, PATCHOGUE, NY 11772-3702
(516) 208-7600
Mailing address
1300 UNION TPKE STE 206, NEW HYDE PARK, NY 11040-1759
(516) 208-7600
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
05/28/2020
Last updated
12/09/2022
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