OrganizationActive
Active Orthopaedics & Sports Medicine, PLLC
NPI 1811062656 · Orthopaedic Surgery Physician · Farmingdale, NY
Provider details
- NPI number
- 1811062656
- Entity type
- Organization
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Nicholas Harding, Director(631) 694-0000
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
340 Broadhollow Rd
Farmingdale, NY 11735-4807
Phone: (631) 694-0000
Approximate (ZIP-level) locationGet directions
Mailing address
340 Broadhollow Rd
Farmingdale, NY 11735-4807
Registry dates
- Enumerated
- 2006-11-21
- Last updated
- 2007-09-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.