Organization
LONG ISLAND SURGICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA HALLER (MANAGER)
(516) 714-3766
Entity
Organization
Contact information
Practice address
2000 N VILLAGE AVE STE 211, ROCKVILLE CENTRE, NY 11570-1001
(516) 900-7922
(516) 268-6398
Mailing address
PO BOX 621, WOODMERE, NY 11598-0621
(516) 714-3766
(516) 268-6398
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
258825-1
NY
Other
Enumeration date
12/08/2015
Last updated
09/25/2024
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