Long Island Surgical Specialist, P.C. in Port Washington - Exclusive Provider Organization
Long Island Surgical Specialist, P.C. - NPI 1932170255
Long Island Surgical Specialist, P.C. is a Exclusive Provider Organization in Port Washington, New York. Long Island Surgical Specialist, P.C. practices all healthcare services and medical treatments related to Exclusive Provider Organization. The NPI Number for Long Island Surgical Specialist, P.C. is 1932170255. The last update date is 2015-09-15.
Long Island Surgical Specialist, P.C.'s current location address is 639 Port Washington Blvd, Port Washington, New York. You can contact this provider via phone number 5168832212 and fax number 5167677064. The mailing address for Long Island Surgical Specialist, P.C. is 639 Port Washington Blvd, Port Washington, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Long Island Surgical Specialist, P.C. |
|---|---|
| Address | 639 Port Washington Blvd, Port Washington, New York |
| Phone Number | 5168832212 |
| Fax Number | 5167677064 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Berroya B Renato |
| Credentials | M.D., F.A. |
| Telephone Number | 5168832212 |
NPI Number Detail
| NPI Number | 1932170255 |
|---|---|
| Provider Enumeration Date | 2006-01-27 |
| Last Updated Date | 2015-09-15 |
Provider Mailing Address Detail
| Address | 639 Port Washington Blvd |
|---|---|
| City | Port Washington |
| State | New York (NY) |
| Post Code | 110503733 |
| Phone Number | 5168832212 |
| Fax Number | 5167677064 |
Provider's Primary Taxonomy Detail
| Speciality | Exclusive Provider Organization |
|---|---|
| Taxonomy | 302F00000X |
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Definition: (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage f |
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Post Comment/ Review Below
What is the Long Island Surgical Specialist, P.C.'s 1932170255?
The Long Island Surgical Specialist, P.C.'s NPI (National Provider Identifier) Number is 1932170255. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Long Island Surgical Specialist, P.C. is located?
The Long Island Surgical Specialist, P.C. is situated at the following address: 639 Port Washington Blvd, Port Washington, NY, 110503733.
What is the Long Island Surgical Specialist, P.C.'s specialty and taxonomy code?
The Long Island Surgical Specialist, P.C.'s specialty is Exclusive Provider Organization, and the corresponding taxonomy code is 302F00000X.
When did Long Island Surgical Specialist, P.C. receive its 1932170255 assignment?
The Long Island Surgical Specialist, P.C. was assigned its 1932170255 on 2006-01-27, which is the date when this unique identifier was issued to the organization.
As of what date were the Long Island Surgical Specialist, P.C.'s details last updated?
The information pertaining to the Long Island Surgical Specialist, P.C., including its address, specialty, and other details, was most recently updated on 2015-09-15.