OrganizationActive
Long Island Surgical Specialist, P.C.
NPI 1932170255 · Exclusive Provider Organization · Port Washington, NY
Provider details
- NPI number
- 1932170255
- Entity type
- Organization
- Primary specialty
- Exclusive Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Renato Berroya, Owner(516) 883-2212
Specialties & taxonomies
Managed Care Organizations
Practice location
639 Port Washington Blvd
Port Washington, NY 11050-3733
Phone: (516) 883-2212
Fax: (516) 767-7064
Approximate (ZIP-level) locationGet directions
Mailing address
639 Port Washington Blvd
Port Washington, NY 11050-3733
Registry dates
- Enumerated
- 2006-01-27
- Last updated
- 2015-09-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.