Organization · NPI-2

Orthopedic Assoc Of Long Island Physicians & Medical Group PLLC

Durable Medical Equipment & Medical Supplies · Stony Brook, NY

NPI number1902468515
StatusActive
Last updated in NPPESJul 3, 2019

Details

NPI
1902468515
Entity type
Organization (NPI-2)
Legal business name
Orthopedic Assoc Of Long Island Physicians & Medical Group PLLC
Organization subpart
No
Enumeration date
Jul 3, 2019
Last updated
Jul 3, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332B00000X Durable Medical Equipment & Medical Supplies––Yes

Practice location

2500 Nesconset Hwy Bldg 20a
Stony Brook, NY 11790-2564

Phone 631-475-1224 · Fax 631-475-1588

Mailing address

Po Box 45776
Baltimore, MD 21297-5776

Phone 631-689-6698

Authorized official

Steven M Puopolo
Principle Physician
6316896698

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