Eastern Long Island General And Vascular Surgery Pc in Southampton - Specialist

Eastern Long Island General And Vascular Surgery Pc - NPI 1083839617

Eastern Long Island General And Vascular Surgery Pc is a Specialist in Southampton, New York. Eastern Long Island General And Vascular Surgery Pc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Eastern Long Island General And Vascular Surgery Pc is 1083839617. The last update date is 2013-04-25.

Eastern Long Island General And Vascular Surgery Pc's current location address is 335a Meeting House Ln, Southampton, New York. You can contact this provider via phone number 6312876570 and fax number 6312876578. The mailing address for Eastern Long Island General And Vascular Surgery Pc is 335a Meeting House Ln, Southampton, New York. To know further, please read the information below!

Provider Profile Detail

Provider Organization Eastern Long Island General And Vascular Surgery Pc
Address 335a Meeting House Ln, Southampton, New York
Phone Number 6312876570
Fax Number 6312876578
Sole Proprietor --
Credentials --

Authorized Official

Title or Position SURGEON
Authorized Official Name Ricca J Richard
Telephone Number 6312876570

NPI Number Detail

NPI Number 1083839617
Provider Enumeration Date 2007-04-17
Last Updated Date 2013-04-25

Provider Mailing Address Detail

Address 335a Meeting House Ln
City Southampton
State New York (NY)
Post Code 119685051
Phone Number 6312876570
Fax Number 6312876578

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 143299
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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FAQs about Eastern Long Island General And Vascular Surgery Pc

What is the unique 10-digit identifier code assigned to Eastern Long Island General And Vascular Surgery Pc by the Centers for Medicare & Medicaid Services?

The Eastern Long Island General And Vascular Surgery Pc has been issued the NPI (National Provider Identifier) 1083839617 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where Eastern Long Island General And Vascular Surgery Pc is physically located?

The Eastern Long Island General And Vascular Surgery Pc is situated at the following address: 335A Meeting House Ln, Southampton, NY 119685051.

What is the Eastern Long Island General And Vascular Surgery Pc's area of specialization and corresponding taxonomy classification?

The Eastern Long Island General And Vascular Surgery Pc's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services issue the 1083839617 to Eastern Long Island General And Vascular Surgery Pc?

The Eastern Long Island General And Vascular Surgery Pc received its 1083839617 assignment from the Centers for Medicare & Medicaid Services on 2007-04-17.

As of what date were the details pertaining to Eastern Long Island General And Vascular Surgery Pc last refreshed?

The information related to the Eastern Long Island General And Vascular Surgery Pc, including its address, specialty, and other relevant details, was last updated on 2013-04-25.

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