Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

307 Long Island Medical PC

Organization Anesthesiology Physician · NPI 1023206026

307 Long Island Medical PC is an Anesthesiology Physician in Great Neck, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

307 E Shore Rd 2nd Fl
Great Neck, NY 11023-2420
Phone: (516) 487-5858
Fax: (516) 487-3133
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 227976-1 (NY)

Record details

NPI number1023206026
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shanta Mallikarjuna — Office Manager · (516) 487-5858
NPI enumeratedOctober 4, 2007
Last updated in NPPESOctober 4, 2007
Mailing address307 E Shore Rd, 2nd Floor, Great Neck, NY 11023-2420

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