Island Surgical & Vascular Group, P.C. in Bay Shore - Surgery
Island Surgical & Vascular Group, P.C. - NPI 1639116759
Island Surgical & Vascular Group, P.C. is a Surgery in Bay Shore, New York. Island Surgical & Vascular Group, P.C. practices all healthcare services and medical treatments related to Surgery. The NPI Number for Island Surgical & Vascular Group, P.C. is 1639116759. The last update date is 2009-12-01.
Island Surgical & Vascular Group, P.C.'s current location address is 15 Park Ave, Bay Shore, New York. You can contact this provider via phone number 6315814400 and fax number 6312773750. The mailing address for Island Surgical & Vascular Group, P.C. is 15 Park Ave, Bay Shore, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Island Surgical & Vascular Group, P.C. |
|---|---|
| Address | 15 Park Ave, Bay Shore, New York |
| Phone Number | 6315814400 |
| Fax Number | 6312773750 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Cohen David Bradley |
| Credentials | M.D. |
| Telephone Number | 6315814400 |
NPI Number Detail
| NPI Number | 1639116759 |
|---|---|
| Provider Enumeration Date | 2006-05-31 |
| Last Updated Date | 2009-12-01 |
Provider Mailing Address Detail
| Address | 15 Park Ave |
|---|---|
| City | Bay Shore |
| State | New York (NY) |
| Post Code | 117067381 |
| Phone Number | 6315814400 |
| Fax Number | 6312773750 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
|
Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 664668 | NY | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Island Surgical & Vascular Group, P.C.?
The Island Surgical & Vascular Group, P.C. has been issued the NPI (National Provider Identifier) 1639116759 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Island Surgical & Vascular Group, P.C.'s facilities are geographically located?
The facilities of Island Surgical & Vascular Group, P.C. are physically situated at the following location: 15 Park Ave, Bay Shore, NY, 117067381.
What is Island Surgical & Vascular Group, P.C.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Island Surgical & Vascular Group, P.C. is Surgery, and the corresponding taxonomy classification code for this specialized field is 208600000X.
On what date did the Island Surgical & Vascular Group, P.C. receive its 1639116759 assignment from the Centers for Medicare & Medicaid Services?
The Island Surgical & Vascular Group, P.C. was assigned its 1639116759 by the Centers for Medicare & Medicaid Services on 2006-05-31.
When was the information regarding Island Surgical & Vascular Group, P.C., such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Island Surgical & Vascular Group, P.C., including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2009-12-01.
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