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1871996223
SURGICAL SPECIALIST OF LONG ISLAND, PC
COMMACK, NY
NPI
1871996223
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Entity Type
Organization
Authorized Contact
TARA DAWN MARTINEZ
Physician
631-486-5030
Organization Subpart ?
No
Primary Taxonomy
208600000X Surgery
Enumeration Date
2014-09-30
Last Update Date
2022-04-21
Business Address
SURGICAL SPECIALIST OF LONG ISLAND, PC
2171 JERICHO TPKE STE 100
COMMACK, NY 11725-2900
Phone number: 631-486-5030
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Mailing Address
SURGICAL SPECIALIST OF LONG ISLAND, PC
2171 JERICHO TPKE STE 100
COMMACK, NY 11725-2900
Phone number: 631-486-5030
Copy
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