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307 Long Island Medical PC

Anesthesiology Physician in Great Neck, NY · enumerated 2007 · authorized official Shanta Mallikarjuna, Office Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1023206026

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Registry record

Entity type Organization (Type 2)
Legal business name 307 Long Island Medical PC
Practice address 307 E Shore Rd, 2nd Floor, Great Neck, NY, 11023
Phone (516) 487-5858
Fax (516) 487-3133
Enumeration date Oct 4, 2007
Last updated in NPPES Oct 4, 2007

Taxonomy & classification

207L00000X Anesthesiology Physician Allopathic & Osteopathic Physicians · License 227976-1 (NY) Primary

Authorized official

Name Shanta Mallikarjuna
Title Office Manager
Phone 15164875858

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is 307 Long Island Medical PC located?
The practice location on file with NPPES is in Great Neck, NY.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2007-10-04. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-10-04.