Organization · Type 2 NPI
Eastern Long Island General and Vascular Surgery PC
Specialist · Southampton, NY
NPI number
1083839617
Active
Practice location
335A Meeting House Ln
Southampton, NY 11968-5051
Fax (631) 287-6578
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 143299 (NY) |
Specialist: 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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About NPI 1083839617
Eastern Long Island General and Vascular Surgery PC's National Provider Identifier is 1083839617, issued on Apr 17, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Southampton, NY. The record was last updated on Apr 25, 2013.