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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 Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

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

NPI # 1083839617
LBN Legal business name EASTERN LONG ISLAND GENERAL AND VASCULAR SURGERY PC
Authorized official RICHARD RICCA - (SURGEON)
Entity Organization
Organization subpart 1 No
Enumeration date 04/17/2007
Last updated 04/25/2013 - About 13 years ago
Identifiers
NY License # 143299
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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