Montauk Medical Associates PLLC
Anesthesiology in West Islip, NY. Organization (NPI-2).
NPI number1619641990
StatusActive
Last updated in NPPESMar 9, 2023
Details
- NPI
- 1619641990
- Entity type
- Organization (NPI-2)
- Legal business name
- Montauk Medical Associates PLLC
- Organization subpart
- No
- Enumeration date
- Aug 2, 2021
- Certification date
- Mar 9, 2023
- Last updated
- Mar 9, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | – | – | Yes |
Practice location
1000 Montauk HwyWest Islip, NY 11795-4927
Phone 833-547-7463 · Fax 631-248-5583
Mailing address
Po Box 459West Islip, NY 11795-0459
Phone 833-547-7463 · Fax 631-248-5583
Other practice locations
66 Commack Rd Ste 103
Commack, NY 11725-3405
Commack, NY 11725-3405
Phone 833-547-7463 · Fax 631-248-5583
Authorized official
Reginald Rousseau
Member
8335477463
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