Eastern Long Island General and Vascular Surgery PC
NPI #1083839617 in Southampton, New York
Provider Information
- NPI Number
- 1083839617
- Entity Type
- Organization
- Organization Name
- Eastern Long Island General and Vascular Surgery PC
- Primary Specialty
- Specialist
- Enumeration Date
- Apr 17, 2007
- Last Updated
- Apr 25, 2013
Practice Location
- Address
- 335A MEETING HOUSE LN
- City
- Southampton
- State
- New York
- ZIP Code
- 11968-5051
- Phone
- (631) 287-6570
Authorized Official
- Name
- DR. RICHARD J RICCA
- Title
- SURGEON
- Phone
- (631) 287-6570
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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