Organization
LONG ISLAND PHYSICIAN ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN VON LINTIG (CHIEF OPERATING OFFICER)
(631) 503-1400
Entity
Organization
Contact information
Practice address
70 N COUNTRY RD, SUITE 203, PORT JEFFERSON, NY 11777-2161
(631) 474-0707
(631) 474-4034
Mailing address
333 ROUTE 25A, SUITE 225, ROCKY POINT, NY 11778-8556
(631) 503-1400
(631) 744-6205
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
06/06/2014
Last updated
03/17/2021
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