Organization
ISLANDMED INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL POLIANDRO (OWNER PRESIDENT)
(631) 206-1195
Entity
Organization
Contact information
Practice address
1265 SUNRISE HWY, SUITE 102, BAY SHORE, NY 11706-5925
(631) 206-1195
(631) 206-1196
Mailing address
87 LES ST, BAY SHORE, NY 11706-4520
(631) 206-1195
(631) 206-1196
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
34494
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02000411
—
NY
Enumeration date
05/01/2007
Last updated
08/22/2020
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