Organization · Type 2 NPI
Vascular Surgery Associate of Suffolk County, PLLC
Vascular Surgery Physician · Patchogue, NY
NPI number
1477893113
Active
Practice location
33 Medford Ave Ste A
Patchogue, NY 11772-1222
Fax (631) 569-5413
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | None listed |
| Vascular Surgery Physician Primary | 2086S0129X | None listed |
Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
About NPI 1477893113
Vascular Surgery Associate of Suffolk County, PLLC's National Provider Identifier is 1477893113, issued on Feb 17, 2013. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Patchogue, NY. The record was last updated on Dec 23, 2025.