Organization · Type 2 NPI

Medical Qualified Service of Suffolk County New York PLLC

Surgery Physician · Brightwaters, NY

NPI number 1871908376 Active

Practice location

404 Potter Blvd
Brightwaters, NY 11718-1830

Call (973) 826-8080 Map

Fax (866) 309-3354

Mailing address

PO Box 4059
Wayne, NJ 07474-4059

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000XNone listed

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…

13 other providers at this address

About NPI 1871908376

Medical Qualified Service of Suffolk County New York PLLC's National Provider Identifier is 1871908376, issued on Jun 24, 2014. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Brightwaters, NY. The record was last updated on Nov 5, 2015.