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

South Nassau Physician Practice PC

Organization Surgery Physician · NPI 1962652685

South Nassau Physician Practice PC is a Surgery Physician in Valley Stream, New York. Licensed in New York. Registered with an NPI since 2008.

Licensed in
NY
In the registry since
2008
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1 S Central Ave
Valley Stream, NY 11580-5443
Phone: (516) 632-3350
Fax: (516) 632-3355
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 201327 (NY)
Surgery Physician Taxonomy 208600000X · Licence 200879 (NY)
Surgery Physician Taxonomy 208600000X · Licence 242239 (NY)

Record details

NPI number1962652685
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rajiv Datta — Director · (516) 632-3350
NPI enumeratedSeptember 30, 2008
Last updated in NPPESSeptember 30, 2008
Mailing address1 S Central Ave, Valley Stream, NY 11580-5443

Other providers in Valley Stream