Provider profile · NPI 1477579332
Active Sports Medicine & Orthopaedic Surgery Pc
Orthopaedic Surgery · Long Beach, NY · NPI 1477579332 · 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
Orthopaedic Surgery
Enumerated
Jul 14, 2006
License(s)
201193 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 757 LINCOLN BLVD | Long Beach, NY 11561-2355 | 516-432-8800 |
| LOCATION | 757 LINCOLN BLVD | Long Beach, NY 11561-2355 | 516-432-8800 |
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