Provider Demographics
NPI:1770594194
Name:ENDOCRINOLOGY & DIABETES ASSOCIATES OF LI, PC
Entity type:Organization
Organization Name:ENDOCRINOLOGY & DIABETES ASSOCIATES OF LI, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:JAY
Authorized Official - Last Name:LOMASKY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-536-3700
Mailing Address - Street 1:242 MERRICK RD
Mailing Address - Street 2:SUITE 403
Mailing Address - City:ROCKVILLE CENTRE
Mailing Address - State:NY
Mailing Address - Zip Code:11570-5254
Mailing Address - Country:US
Mailing Address - Phone:516-536-3700
Mailing Address - Fax:516-536-4309
Practice Address - Street 1:242 MERRICK RD
Practice Address - Street 2:SUITE 403
Practice Address - City:ROCKVILLE CENTRE
Practice Address - State:NY
Practice Address - Zip Code:11570-5254
Practice Address - Country:US
Practice Address - Phone:516-536-3700
Practice Address - Fax:516-536-4309
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-10
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYW30181Medicare ID - Type Unspecified