Suffolk Vascular Associates, Pllc in Port Jefferson Stati - Vascular Surgery
Suffolk Vascular Associates, Pllc - NPI 1720059926
Suffolk Vascular Associates, Pllc is a Vascular Surgery in Port Jefferson Stati, New York. Suffolk Vascular Associates, Pllc practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Suffolk Vascular Associates, Pllc is 1720059926. The last update date is 2020-08-22.
Suffolk Vascular Associates, Pllc's current location address is 1110 Hallock Ave, Port Jefferson Stati, New York. You can contact this provider via phone number 6314769100. The mailing address for Suffolk Vascular Associates, Pllc is 1110 Hallock Ave, Port Jefferson Stati, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Suffolk Vascular Associates, Pllc |
|---|---|
| Address | 1110 Hallock Ave, Port Jefferson Stati, New York |
| Phone Number | 6314769100 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Pollina L. Robert |
| Credentials | M.D. |
| Telephone Number | 6314769100 |
NPI Number Detail
| NPI Number | 1720059926 |
|---|---|
| Provider Enumeration Date | 2006-01-27 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1110 Hallock Ave |
|---|---|
| City | Port Jefferson Stati |
| State | New York (NY) |
| Post Code | 117761210 |
| Phone Number | 6314769100 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
|
Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Suffolk Vascular Associates, Pllc by the Centers for Medicare & Medicaid Services?
The Suffolk Vascular Associates, Pllc has been issued the NPI (National Provider Identifier) 1720059926 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 Suffolk Vascular Associates, Pllc is physically located?
The Suffolk Vascular Associates, Pllc is situated at the following address: 1110 Hallock Ave, Port Jefferson Stati, NY 117761210.
What is the Suffolk Vascular Associates, Pllc's specialty and taxonomy code?
The Suffolk Vascular Associates, Pllc's specialty is Vascular Surgery, and the corresponding taxonomy code is 2086S0129X.
On what date did the Suffolk Vascular Associates, Pllc receive its 1720059926 assignment from the Centers for Medicare & Medicaid Services?
The Suffolk Vascular Associates, Pllc was assigned its 1720059926 by the Centers for Medicare & Medicaid Services on 2006-01-27.
As of what date was the information regarding Suffolk Vascular Associates, Pllc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Suffolk Vascular Associates, Pllc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.