OrganizationActive
Active Sports Medicine & Orthopaedic Surgery PC
NPI 1477579332 · Orthopaedic Surgery Physician · Long Beach, NY
Provider details
- NPI number
- 1477579332
- Entity type
- Organization
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Benjamin Uh, Officer
- License
- 201193 (NY)
Practice location
757 Lincoln Blvd
Long Beach, NY 11561-2355
Phone: (516) 432-8800
Fax: (516) 432-8801
Mailing address
757 Lincoln Blvd
Long Beach, NY 11561-2355
Registry dates
- Enumerated
- 2006-07-14
- Last updated
- 2013-02-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.