North Country Colorectal Surgery, Pc

NPI 1417045519 - Surgery - 208600000X

NPI Details
NPI 1417045519
Enumeration Date 10/11/2006
Last Updated 03/14/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MARIA A MARIA
Position OWNER
Phone (631) 331-4672
Fax (631) 331-4239
Practice Location
41 N COUNTRY RD
PORT JEFFERSON NY, 11777-2160, US
Phone (631) 331-4672
Fax (631) 331-4239
Business Location
41 N COUNTRY RD
PORT JEFFERSON NY, 11777-2160, US
Phone (631) 331-4672
Fax (631) 331-4239
Toxanomy
Taxonomy Code 208600000X
License State New York
License Number 206665
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According to our database, North Country Colorectal Surgery, Pc NPI is 1417045519, taxonomy code is 208600000X and license number is 206665, license state is located at New York. North Country Colorectal Surgery, Pc physically located at 41 N Country Rd, Port Jefferson NY, 11777-2160. NPI Number 1033115704 has the healthcare provider type.

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1417045519 NPI number is provided on an as is basis without warranty of any kind. 1417045519 is maintained by the National Plan & Provider Enumeration System. The contents of North Country Colorectal Surgery, Pc are for informational purposes only.