OrganizationActive
L.i. Office-Based Surgery, PLLC
NPI 1013121409 · MOHS-Micrographic Surgery Physician · Plainview, NY
Provider details
- NPI number
- 1013121409
- Entity type
- Organization
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Domenico Valente, Owner(516) 433-2424
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
875 Old Country Rd
Suite 300
Plainview, NY 11803-4942
Phone: (516) 433-2424
Fax: (516) 433-1065
Approximate (ZIP-level) locationGet directions
Mailing address
875 Old Country Rd
Plainview, NY 11803-4942
Registry dates
- Enumerated
- 2007-05-09
- Last updated
- 2008-06-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.