Healthcare Provider Details

I. General information

NPI: 1174588214
Provider Name (Legal Business Name): LONG TERM MEDICAL CARE ASSOCIATES, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2006
Last Update Date: 08/02/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

378 SYOSSET WOODBURY RD
WOODBURY NY
11797-1200
US

IV. Provider business mailing address

222 STATION PLZ N STE 518
MINEOLA NY
11501-3808
US

V. Phone/Fax

Practice location:
  • Phone: 516-921-3900
  • Fax: 516-663-4644
Mailing address:
  • Phone: 516-663-4630
  • Fax: 516-663-4644

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License Number
License Number State

VIII. Authorized Official

Name: MS. KAREN FISCHER
Title or Position: OFFICE MANAGER
Credential:
Phone: 516-663-4630