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

South Nassau Physicians PC

Organization Surgery Physician · NPI 1104200641

South Nassau Physicians PC is a Surgery Physician in Valley Stream, New York. Registered with an NPI since 2015.

In the registry since
2015
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

1 S Central Ave
Valley Stream, NY 11580-5443
Phone: (516) 632-3350
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1104200641
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Bogen — Cfo · (516) 632-3965
NPI enumeratedJuly 15, 2015
Last updated in NPPESJuly 15, 2015
Mailing address1 Healthy Way, Oceanside, NY 11572-1551

Other providers in Valley Stream