Organization
ISLAND ANESTHESIOLOGIST PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAUL JOSE MASAKAYAN MD (PRESIDENT)
(631) 463-1175
Entity
Organization
Contact information
Practice address
1175 MONTAUK HWY, WEST ISLIP, NY 11795-4939
(631) 463-1175
(516) 420-8800
Mailing address
118 BAGATELLA ROAD, MELVILLE, NY 11747
(631) 463-1175
(516) 420-8800
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
211412
NY
Other
Enumeration date
05/03/2007
Last updated
03/07/2023
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