Organization · Type 2 NPI
Port Jefferson Surgical PC
Clinic/Center · Port Jefferson, NY
NPI number
1912460791
Active
Practice location
1227 Main St Ste 101
Port Jefferson, NY 11777-2227
Mailing address
70 N Country Rd Ste 201
Port Jefferson, NY 11777-2161
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Another provider at this address
Other clinic/center providers in Port Jefferson
About NPI 1912460791
Port Jefferson Surgical PC's National Provider Identifier is 1912460791, issued on Apr 9, 2019. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Port Jefferson, NY. The record was last updated on Oct 1, 2019.