North Country Colorectal Surgery, Pc

NPI 1417045519

Information of North Country Colorectal Surgery, Pc

The NPI 1417045519 is an Organization type. NPI No 1417045519 belongs to North Country Colorectal Surgery, Pc. North Country Colorectal Surgery, Pc specializes in Surgery. is practising at 41 N Country Rd, Port Jefferson, New York 11777. You can also contact him via phone number (631) 331-4672.

Practice address located

  • 41 N Country Rd
  • Port Jefferson, New York 11777
  • (631) 331-4672
  • (631) 331-4672

Mailling address located

  • 41 N Country Rd
  • Port Jefferson, New York 11777
  • (631) 331-4672
  • (631) 331-4239
North Country Colorectal Surgery, Pc is PECOS enrolled.
NPI No 1417045519
Primary Taxonomy
Authorized Official
Specialty of the provider
PrimaryTaxonomy CodeClassificationLicense NumberLicense State
Yes208600000XSurgery206665New York
Identifier for this provider
StateIdentifierTypeIssuer
NY000371Medicare PINn/a
NYH24538Medicare UPINn/a
NYWMW471Medicare PINn/a
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