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

Island Anesthesiologist PC

Organization Pain Medicine (Anesthesiology) Physician · NPI 1912129404

Island Anesthesiologist PC is a Pain Medicine (Anesthesiology) Physician in West Islip, 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

1175 Montauk Hwy
West Islip, NY 11795-4939
Phone: (631) 463-1175
Fax: (516) 420-8800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X · Licence 211412 (NY)

Record details

NPI number1912129404
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Raul Masakayan — President · (631) 463-1175
NPI enumeratedMay 3, 2007
Last updated in NPPESMarch 7, 2023
Mailing address118 Bagatella Road, Melville, NY 11747

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