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NPI Profile for EASTERN LONG ISLAND GENERAL AND VASCULAR SURGERY PC in SOUTHAMPTON, NY.
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Specialist |
174400000X |
| NPI Number | 1083839617 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 04/17/2007 | |
| Last updated | 04/25/2013 - About 13 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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EASTERN LONG ISLAND GENERAL AND VASCULAR SURGERY PC
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EASTERN LONG ISLAND GENERAL AND VASCULAR SURGERY PC