Orthopedic Assoc Of Long Island Physicians & Medical Group PLLC
Durable Medical Equipment & Medical Supplies in Patchogue, NY. Organization (NPI-2).
NPI number1164074373
StatusActive
Last updated in NPPESJul 9, 2019
Details
- NPI
- 1164074373
- Entity type
- Organization (NPI-2)
- Legal business name
- Orthopedic Assoc Of Long Island Physicians & Medical Group PLLC
- Organization subpart
- No
- Enumeration date
- Jul 9, 2019
- Last updated
- Jul 9, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | Yes |
Practice location
55 Medford Ave Unit EPatchogue, NY 11772-1229
Phone 631-689-6698
Mailing address
Po Box 45776Baltimore, MD 21297-5776
Phone 631-689-6698
Authorized official
Steven M Puopolo
Principle Physician
6316896698
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