Organization
ORTHOPEDIC LI, P.C.
Active
Organization
ORTHOPEDIC LI, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAILA DETORE DO (OWNER)
(631) 358-1868
Entity
Organization
Contact information
Practice address
403 DEER PARK AVE, BABYLON, NY 11702-2356
(631) 661-2663
(631) 321-4971
Mailing address
403 DEER PARK AVE, BABYLON, NY 11702-2356
(631) 661-2663
(631) 321-4971
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Enumeration date
04/08/2020
Last updated
04/08/2020
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