Organization
NASSAU-SUFFOLK MEDICAL SERVICES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN MULLINS MD (OWNER)
(833) 774-6333
Entity
Organization
Contact information
Practice address
1175 MONTAUK HWY, SUITE 6, WEST ISLIP, NY 11795-4939
(833) 547-7463
(631) 647-3070
Mailing address
1175 MONTAUK HWY, SUITE 6, WEST ISLIP, NY 11795-4939
(833) 547-7463
(631) 644-7030
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
261853
NY
207L00000X
Anesthesiology Physician
265787
NY
207LP2900X
Pain Medicine (Anesthesiology) Physician
261853
NY
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
265787
NY
207T00000X
Neurological Surgery Physician
190377
NY
Other
Enumeration date
05/16/2014
Last updated
12/22/2021
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