| Organization Name: | L.I. OFFICE-BASED SURGERY, PLLC |
| NPI Number: | 1013121409 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DOMENICO VALENTE (OWNER) |
| Mailing Address: | 875 Old Country Rd Suite 300 Plainview |
| State: | NY US |
| Postal Code: | 118034942 |
| Phone Number: | 5164332424 |
| Fax Number: | 5164331065 |
| NPI Enumeration Date: | 05/09/2007 |
| NPI Last Update Date: | 06/18/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2086S0122X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Surgery |
| Taxonomy Specialization: | Plastic and Reconstructive Surgery |
| Taxonomy Definition: | A surgeon who specializes in plastic and reconstructive surgery. |