1932170255 LONG ISLAND SURGICAL SPECIALIST, P.C.

Exclusive Provider Organization

Reactivated

Basic Information

Organization Name
LONG ISLAND SURGICAL SPECIALIST, P.C.
Enumeration Date
January 27, 2006
Last Update
September 15, 2015
Deactivation Date
May 31, 2006
Reactivation Date
August 2, 2007
Authorized Official
DR. RENATO B BERROYA M.D., F.A.C.S.
OWNER
Phone: (516) 883-2212

Practice Location

Address
639 PORT WASHINGTON BLVD
PORT WASHINGTON, NY 110503733
Phone
(516) 883-2212
Fax
(516) 767-7064

Mailing Address

Address
639 PORT WASHINGTON BLVD
PORT WASHINGTON, NY 110503733
Phone
(516) 883-2212
Fax
(516) 767-7064

Specialties & Taxonomies

Specialty Code Classification License State Primary
Exclusive Provider Organization
302F00000X Exclusive Provider Organization N/A N/A Primary

Frequently Asked Questions

What is LONG ISLAND SURGICAL SPECIALIST, P.C.'s NPI number?
LONG ISLAND SURGICAL SPECIALIST, P.C.'s NPI number is 1932170255.
Which doctor has NPI number 1932170255?
The doctor with NPI number 1932170255 is LONG ISLAND SURGICAL SPECIALIST, P.C..
What is LONG ISLAND SURGICAL SPECIALIST, P.C.'s practice address?
LONG ISLAND SURGICAL SPECIALIST, P.C.'s practice address is 639 PORT WASHINGTON BLVD, PORT WASHINGTON, NY, 110503733.
Which doctor practices at 639 PORT WASHINGTON BLVD, PORT WASHINGTON, NY, 110503733?
LONG ISLAND SURGICAL SPECIALIST, P.C. practices at 639 PORT WASHINGTON BLVD, PORT WASHINGTON, NY, 110503733.
What is LONG ISLAND SURGICAL SPECIALIST, P.C.'s phone number?
LONG ISLAND SURGICAL SPECIALIST, P.C.'s phone number is (516) 883-2212.
Who is (516) 883-2212?
(516) 883-2212 is the phone number for LONG ISLAND SURGICAL SPECIALIST, P.C..
What is LONG ISLAND SURGICAL SPECIALIST, P.C.'s specialty?
LONG ISLAND SURGICAL SPECIALIST, P.C.'s specialty is Exclusive Provider Organization.
What type of doctor is LONG ISLAND SURGICAL SPECIALIST, P.C.?
LONG ISLAND SURGICAL SPECIALIST, P.C. is a Exclusive Provider Organization.
Is LONG ISLAND SURGICAL SPECIALIST, P.C. a Exclusive Provider Organization?
Yes, LONG ISLAND SURGICAL SPECIALIST, P.C. is a Exclusive Provider Organization.
Is LONG ISLAND SURGICAL SPECIALIST, P.C. still practicing?
Yes, LONG ISLAND SURGICAL SPECIALIST, P.C. has reactivated their practice and is currently practicing.
Is LONG ISLAND SURGICAL SPECIALIST, P.C. accepting new patients?
LONG ISLAND SURGICAL SPECIALIST, P.C. may be accepting new patients. Please call their office at (516) 883-2212 to inquire about availability.
Is NPI 1932170255 still active?
Yes, NPI 1932170255 has been reactivated and is currently active.
Where does LONG ISLAND SURGICAL SPECIALIST, P.C. practice?
LONG ISLAND SURGICAL SPECIALIST, P.C. practices in PORT WASHINGTON, NY.