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COLON AND RECTAL SURGICAL ASSOCIATES OF LONG ISLAND P.C. NPI 1982711842


NPI Information

NPI: 1982711842
Provider Name: COLON AND RECTAL SURGICAL ASSOCIATES OF LONG ISLAND, P.C.
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 33D0858883

Address:
60 CUTTER MILL ROAD
SUITE 507
GREAT NECK, NY
ZIP 11021
Phone: (516) 487-8738
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COLON AND RECTAL SURGICAL ASSOCIATES OF LONG ISLAND, P.C. is a specialist in Great Neck, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. COLON AND RECTAL SURGICAL ASSOCIATES OF LONG ISLAND, P.C. NPI is 1982711842. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

60 CUTTER MILL ROAD
SUITE 507
GREAT NECK, NY
ZIP 11021
Phone: (516) 487-8738
Fax: (516) 487-1601

The provider's authorized official is Michael D Moseson .
The authorized official title is President and has the following contact phone number (516) 487-8738.

The CLIA number assigned to this NPI record is 33D0858883 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/24/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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