| General And Vascular Surgery Of Long Island Pc | |
|
434 Rockaway Ave Brooklyn NY 11212-5636 | |
| (718) 346-2628 | |
| (516) 248-3044 |
| Full Name | General And Vascular Surgery Of Long Island Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 434 Rockaway Ave, Brooklyn, New York |
| Authorized Official Name and Position | Anthony Colantonio (OWNER/PRESIDENT) |
| Authorized Official Contact | 7183463355 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| General And Vascular Surgery Of Long Island Pc 520 Franklin Ave Suite 151 Garden City NY 11530-5801 Ph: (516) 746-3310 | General And Vascular Surgery Of Long Island Pc 434 Rockaway Ave Brooklyn NY 11212-5636 Ph: (718) 346-2628 |
| NPI Number | 1174695068 |
|---|---|
| Provider Enumeration Date | 11/15/2006 |
| Last Update Date | 02/24/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174695068 | NPI | - | NPPES |
| 01616568 | Medicaid | NY | |
| 01513024 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208600000X | Surgery | 163260 (New York) | Secondary |
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