Organization
LONG ISLAND DIABETES & ENDOCRINOLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARBARA H O'BRIEN (OFFICE ADMINISTRATOR)
(631) 941-1000
Entity
Organization
Contact information
Practice address
421 DEER PARK AVE, BABYLON, NY 11702-2313
(631) 941-1000
(631) 941-1010
Mailing address
415 GARDEN ST, BELLMORE, NY 11710-4517
(631) 941-1000
(631) 941-1010
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
2075821
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1497740781
NPI
NY
01
—
1962496968
NPI-GROUP
NY
Enumeration date
04/30/2009
Last updated
04/30/2009
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