Organization
LONG ISLAND SURGICAL SPECIALIST, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RENATO B BERROYA M.D., F.A.C.S. (OWNER)
(516) 883-2212
Entity
Organization
Contact information
Practice address
639 PORT WASHINGTON BLVD, PORT WASHINGTON, NY 11050-3733
(516) 883-2212
(516) 767-7064
Mailing address
639 PORT WASHINGTON BLVD, PORT WASHINGTON, NY 11050-3733
(516) 883-2212
(516) 767-7064
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
01/27/2006
Last updated
09/15/2015
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