Provider profile · NPI 1023206026

307 Long Island Medical Pc

Anesthesiology · Great Neck, NY · NPI 1023206026 · No federal exclusion match

✔ Verified against the public CMS NPPES registry & HHS-OIG LEIE as of Jun 21, 2026. Source-linked, daily-refreshed. Public data only — no PHI.

Registry details

Type

Organization

Primary specialty

Anesthesiology

Enumerated

Oct 4, 2007

License(s)

227976-1 (NY)

Addresses on file

PurposeAddressCity/StatePhone
MAILING307 E SHORE RD 2ND FLOORGreat Neck, NY 11023-2420516-487-5858
LOCATION307 E SHORE RD 2ND FLOORGreat Neck, NY 11023-2420516-487-5858

View on NPPES registry ↗

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