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

Surgical Specialist of Long Island, PC

Organization Surgery Physician · NPI 1871996223

Surgical Specialist of Long Island, PC is a Surgery Physician in Commack, New York. Works from 2 locations. Registered with an NPI since 2014.

In the registry since
2014
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

2171 Jericho Tpke Ste 100
Commack, NY 11725-2900
Phone: (631) 486-5030
Fax: (631) 724-4229
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 989 W Jericho Tpke, Smithtown, NY 11787-3241 — (631) 486-5030

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1871996223
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tara Martinez — Physician · (631) 486-5030
NPI enumeratedSeptember 30, 2014
Last updated in NPPESApril 21, 2022
Certification dateOctober 28, 2021
Mailing address2171 Jericho Tpke Ste 100, Commack, NY 11725-2900

Other providers in Commack