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1699045468
LONG ISLAND BARIATRIC PLLC
RIVERHEAD, NY
NPI
1699045468
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Entity Type
Organization
Authorized Contact
PAAYAL P MEHTA
Sole Member
631-356-3125
Organization Subpart ?
No
Primary Taxonomy
208600000X Surgery
(Licence: NY 234672-1)
Enumeration Date
2012-01-10
Last Update Date
2012-01-10
Business Address
LONG ISLAND BARIATRIC PLLC
715 ROANOKE AVE
RIVERHEAD, NY 11901-2729
Phone number: 631-963-4750
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Mailing Address
LONG ISLAND BARIATRIC PLLC
8 OLD SCHOOLHOUSE RD
MANORVILLE, NY 11949-3069
Phone number: 631-356-3125
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