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Organization

THEATRE SURGICAL ARTS OFFICE BASED SURGERY, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LLOYD DAVID LANDSMAN MD (OWNER)
(631) 864-4111
Entity
Organization

Contact information

Practice address
994 W JERICHO TPKE STE 102, SMITHTOWN, NY 11787-3211
(631) 864-4111
Mailing address
994 W JERICHO TPKE STE 102, SMITHTOWN, NY 11787-3211
(631) 864-4111

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
208200000X
Plastic Surgery Physician
Primary

Other

Enumeration date
12/06/2018
Last updated
01/13/2026
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