L.I. Office-Based Surgery, PLLC

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

Legal business name

L.I. OFFICE-BASED SURGERY, PLLC

Practice address

875 Old Country Rd
Suite 300
Plainview, NY 11803-4942

Phone

(516) 433-2424

Fax

(516) 433-1065

NPI assigned

May 9, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Domenico Valente, M.D.

Title

Owner

Phone

(516) 433-2424

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1013121409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 OLD COUNTRY RD",
            "address_2": "SUITE 300",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118034942",
            "telephone_number": "516-433-2424",
            "fax_number": "516-433-1065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 OLD COUNTRY RD",
            "address_2": "SUITE 300",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118034942",
            "telephone_number": "516-433-2424",
            "fax_number": "516-433-1065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L.I. OFFICE-BASED SURGERY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "VALENTE",
        "authorized_official_first_name": "DOMENICO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-433-2424",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• MOHS-Micrographic Surgery Physician in Plainview, NY
• Providers in Plainview, NY by specialty
• MOHS-Micrographic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.