Organization
LONG ISLAND MEDICAL OFFICE BASED SURGERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID KREINER MD (PRESIDENT/CEO)
(516) 939-6695
Entity
Organization
Contact information
Practice address
1074 OLD COUNTRY RD, PLAINVIEW, NY 11803-4918
(516) 939-6695
(516) 939-2392
Mailing address
1074 OLD COUNTRY RD, PLAINVIEW, NY 11803-4918
(516) 939-6695
(516) 939-2392
Taxonomy
Speciality
Code
Description
License number
State
261QA0006X
Ambulatory Fertility Facility
Primary
1517981
NY
Other
Enumeration date
07/23/2009
Last updated
07/23/2009
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