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Island Neonatology

Specialist in Smithtown, NY. Organization (NPI-2).

NPI number1962521815
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1962521815
Entity type
Organization (NPI-2)
Legal business name
Island Neonatology
Organization subpart
No
Enumeration date
Mar 29, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174400000X Specialist––Yes

Practice location

50 Route 25a
Smithtown, NY 11787-1348

Phone 631-862-3000

Mailing address

Po Box 272
East Islip, NY 11730-0272

Phone 631-224-1878 · Fax 631-224-7963

Authorized official

Donna Monti
Billing Manager
6312241878

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