Organization · Type 2 NPI

Port Jefferson Asc, LLC

Ambulatory Surgical Clinic/Center · Port Jefferson Station, NY

NPI number 1881134815 Active

Practice location

1500 Route 112, Bldg 3
Port Jefferson Station, NY 11776

Call (720) 287-5362 Map

Mailing address

1500 Route 112 Bldg 3
Port Jefferson Station, NY 11776-8054

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Surgical Clinic/Center Primary 261QA1903XNone listed

Ambulatory Surgical Clinic/Center: Definition to come...

22 other providers at this address

Other ambulatory surgical clinic/center providers in Port Jefferson Station

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About NPI 1881134815

Port Jefferson Asc, LLC's National Provider Identifier is 1881134815, issued on Feb 23, 2017. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Port Jefferson Station, NY. The record was last updated on Jul 20, 2018.