Organization · NPI-2

307 Long Island Medical P.C

Anesthesiology · Jamaica, NY

NPI number1942532676
StatusActive
Last updated in NPPESFeb 5, 2010

Details

NPI
1942532676
Entity type
Organization (NPI-2)
Legal business name
307 Long Island Medical P.C
Organization subpart
No
Enumeration date
Feb 5, 2010
Last updated
Feb 5, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207L00000X Anesthesiology––Yes

Practice location

86-75 Midland Parkway
Jamaica, NY 11423

Phone 516-487-5858 · Fax 516-487-3133

Mailing address

307 East Shore Road, 2nd Floor
Great Neck, NY 11023

Authorized official

Venkata P Maganti
Director
5164875858

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