Organization · Type 2 NPI

Surgical Group Prof Corp

Surgery Physician · Amityville, NY

NPI number 1710126271 Active

Practice location

157 Broadway
Amityville, NY 11701-2729

Fax (631) 598-7759

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000X147879 (NY)
Vascular Surgery Physician 2086S0129X147879 (NY)

Surgery Physician: 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; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1710126271

Surgical Group Prof Corp's National Provider Identifier is 1710126271, issued on Feb 6, 2009. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Amityville, NY. The record was last updated on Feb 6, 2009.