Organization
307 LONG ISLAND MEDICAL P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VENKATA P MAGANTI M.D (DIRECTOR)
(516) 487-5858
Entity
Organization
Contact information
Practice address
86-75 MIDLAND PARKWAY, JAMAICA, NY 11423
(516) 487-5858
(516) 487-3133
Mailing address
307 EAST SHORE ROAD, 2ND FLOOR, GREAT NECK, NY 11023
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
02/05/2010
Last updated
02/05/2010
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