OrganizationActive
307 Long Island Medical PC
NPI 1023206026 · Anesthesiology Physician · Great Neck, NY
Provider details
- NPI number
- 1023206026
- Entity type
- Organization
- Primary specialty
- Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Shanta Mallikarjuna, Office Manager
- License
- 227976-1 (NY)
Practice location
307 E Shore Rd
2nd Floor
Great Neck, NY 11023-2420
Phone: (516) 487-5858
Fax: (516) 487-3133
Mailing address
307 E Shore Rd
Great Neck, NY 11023-2420
Registry dates
- Enumerated
- 2007-10-04
- Last updated
- 2007-10-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.