Organization
LONG ISLAND MEDICAL OFFICE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARVIN SWANSON M.D. (EXECUTIVE DIRECTOR)
(631) 656-8270
Entity
Organization
Contact information
Practice address
363 ROUTE 111, SUITE 107B, SMITHTOWN, NY 11787-4756
(631) 656-8270
(631) 406-6529
Mailing address
363 ROUTE 111, SUITE 107B, SMITHTOWN, NY 11787-4756
(631) 656-8270
(631) 406-6529
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
09/09/2015
Last updated
09/09/2015
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