Organization
ISLAND SURGICAL PRACTICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEVENDRA B BRAHMBHATT MD (PRESEDENT)
(516) 568-9119
Entity
Organization
Contact information
Practice address
210 E SUNRISE HWY, SUITE 303, VALLEY STREAM, NY 11581-1329
(516) 568-9119
(516) 568-9800
Mailing address
446 HUNGRY HARBOR RD, VALLEY STREAM, NY 11581-3645
(516) 568-9119
(516) 568-9800
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
01/19/2007
Last updated
12/06/2010
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