Organization
ORTHOPEDIC ASSOC OF LONG ISLAND PHYSICIANS & MEDICAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN M PUOPOLO (PRINCIPLE PHYSICIAN)
(631) 689-6698
Entity
Organization
Contact information
Practice address
2500 NESCONSET HWY BLDG 20A, STONY BROOK, NY 11790-2564
(631) 475-1224
(631) 475-1588
Mailing address
PO BOX 45776, BALTIMORE, MD 21297-5776
(631) 689-6698
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/03/2019
Last updated
07/03/2019
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