Organization
ISLAND EYE SURGICENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH MALANIAK (EXECUTIVE DIRECTOR)
(516) 877-2400
Entity
Organization
Contact information
Practice address
1500 JERICHO TPKE, WESTBURY, NY 11590-1045
(516) 877-2400
(516) 877-1879
Mailing address
825 E GATE BLVD STE 111, GARDEN CITY, NY 11530-2136
(516) 877-2400
(516) 877-1879
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
2951205R
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02064079
—
NY
Enumeration date
10/24/2006
Last updated
08/27/2020
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