National Provider Identifier Database

EASTERN LONG ISLAND GENERAL AND VASCULAR SURGERY PC
Specialist

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.


Contact Information

EASTERN LONG ISLAND GENERAL AND VASCULAR SURGERY PC
335A MEETING HOUSE LN
SOUTHAMPTON, NY11968-5051
Phone: 631-287-6570
Fax: 631-287-6578
Website:
Specialty Taxonomy Code
* Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for EASTERN LONG ISLAND GENERAL AND VASCULAR SURGERY PC

NPI Number 1083839617
Legal business name
LBN
EASTERN LONG ISLAND GENERAL AND VASCULAR SURGERY PC
Authorized official RICHARD RICCA - (SURGEON)
Entity Organization
Organization subpart No
Enumeration date 04/17/2007
Last updated 04/25/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers
  • NY License #: 143299

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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