LONG ISLAND MEDICAL OFFICE BASED SURGERY PLLC
Ambulatory Health at Old Country Rd, Hicksville, NY

License number
New York 1517981
Category
Ambulatory Health
Type
Ambulatory Fertility Facility
Owner
Name: DR. DAVID KREINER MD
Title: PRESIDENT/CEO
Phone: (516) 939-6695
Address
Address
1074 Old Country Rd, Hicksville, NY 11803
National Provider ID: 1417187485
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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LONG ISLAND MEDICAL OFFICE BASED SURGERY PLLC

1074 Old Country Rd, Plainview, NY 11803

Status:
Inactive
Inactive reason:
Dissolution
Registration:
Apr 28, 2009
Inactive since:
Jun 19, 2013
State ID:
3803863
Business type:
DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY

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