Varicose Vein Medical Office Pc

LBN: Varicose Vein Medical Office Pc
Varicose Vein Medical Office Pc is an health care organization with primary practice located at 405 E Main St , Port Jefferson NY 11777-1868. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Phlebology, which is considered as the primary health care specialty. Varicose Vein Medical Office Pc can be contacted via phone (631) 474-1414, or through Ninia, Jerry via phone (631) 474-1414.

Contact Information

Primary practice address
405 E Main St Port Jefferson NY 11777-1868
Phone: (631) 474-1414
Fax: (631) 474-2032
Website:
Map and Directions
Authorized official contact:
Name: Ninia, Jerry Doctor of Medicine (MD)
Phone: (631) 474-1414

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Phlebology 202K00000X 174810 New York

Profile Details

NPI number 1356618615
LBN Legal business name Varicose Vein Medical Office Pc
DBA Doing business as
Authorized official Ninia, Jerry Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 30th, 2011
Last updated Nov 30th, 2011 - about 15 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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