Varicose Vein Medical Office PC

NPI #1356618615 in Port Jefferson, New York

Provider Information

NPI Number: 1356618615
Entity Type: Organization
Organization Name: Varicose Vein Medical Office PC
Primary Specialty: Phlebology
Enumeration Date: Nov 30, 2011
Last Updated: Nov 30, 2011

Practice Location

Address: 405 E MAIN ST
City: Port Jefferson
State: New York
ZIP Code: 11777-1868
Phone: (631) 474-1414

Authorized Official

Name: JERRY NINIA, MD
Title: OWNER
Phone: (631) 474-1414

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Phlebology	202K00000X	Primary

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Organizations

Provider Name	Specialty	City
Varicose Vein Medical Office PC	Phlebology	Port Jefferson	AI Deep Dive

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