Suffolk Surgical Group, Pc

LBN: Suffolk Surgical Group, Pc
Suffolk Surgical Group, Pc is an health care organization with primary practice located at 250 Patchogue Yaphank Rd Suite #17, East Patchogue NY 11772-4800. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Suffolk Surgical Group, Pc can be contacted via phone (631) 475-1013, or through Shayowitz, Mark via phone (631) 475-1013.

Contact Information

Primary practice address
250 Patchogue Yaphank Rd Suite #17 East Patchogue NY 11772-4800
Phone: (631) 475-1013
Fax: (631) 475-1092
Website:
Map and Directions
Authorized official contact:
Name: Shayowitz, Mark
Phone: (631) 475-1013

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1346306750
LBN Legal business name Suffolk Surgical Group, Pc
DBA Doing business as
Authorized official Shayowitz, Mark
Entity Organization
Organization subpart 1 No
Enumeration date Dec 29th, 2006
Last updated Jan 11th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346306750 NPPES
New York MEDICAID 02905686

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