Organization
LONG ISLAND MEDICAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAYDEEP SHIVAJI KADAM M.D. (CO PRESIDENT)
(516) 584-6400
Entity
Organization
Contact information
Practice address
237 JERICHO TPKE, SYOSSET, NY 11791-4513
(516) 584-6400
(516) 584-6401
Mailing address
237 JERICHO TPKE, SYOSSET, NY 11791-4513
(516) 584-6400
(516) 584-6401
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
220299
NY
207RG0100X
Gastroenterology Physician
Primary
238095
NY
Other
Enumeration date
07/06/2009
Last updated
07/06/2009
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