Provider Demographics
NPI:1619200896
Name:ENDOCRINE ASSOCIATES OF LONG ISLAND, PC
Entity Type:Organization
Organization Name:ENDOCRINE ASSOCIATES OF LONG ISLAND, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:B
Authorized Official - Last Name:KUGLER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:631-265-5501
Mailing Address - Street 1:732 SMITHTOWN BYP
Mailing Address - Street 2:SUITE 103
Mailing Address - City:SMITHTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11787-5020
Mailing Address - Country:US
Mailing Address - Phone:631-265-5501
Mailing Address - Fax:631-265-5297
Practice Address - Street 1:732 SMITHTOWN BYP
Practice Address - Street 2:SUITE 103
Practice Address - City:SMITHTOWN
Practice Address - State:NY
Practice Address - Zip Code:11787-5020
Practice Address - Country:US
Practice Address - Phone:631-265-5501
Practice Address - Fax:631-265-5297
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-06
Last Update Date:2012-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY154428207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty