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Organization

LONG ISLAND LUNG SURGERY PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MARK H GENOVESI (OWNER)
(917) 715-3192
Entity
Organization

Contact information

Practice address
37 NORTHERN BLVD UNIT 15, GREENVALE, NY 11548-4001
(917) 715-3192
Mailing address
12 CHARLES WAY, GLEN HEAD, NY 11545-2736

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Enumeration date
12/04/2020
Last updated
10/07/2025
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