Organization
LONG ISLAND SURGERY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BADRI P NATH MD (MD)
(631) 289-4700
Entity
Organization
Contact information
Practice address
4 PHYLLIS DRIVE, PATCHOGUE, NY 11772
(631) 289-4700
(631) 289-4718
Mailing address
4 PHYLLIS DRIVE, PATCHOGUE, NY 11772
(631) 289-4700
(631) 289-4718
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
194796
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01762005
—
NY
01
—
020038452
MCR RR
NY
01
—
5020361
SUFFOLK HEALTHPLAN
NY
01
—
P773785
OXF
NY
Enumeration date
07/06/2006
Last updated
02/26/2014
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