North Country Colorectal Surgery, PC
NPI #1417045519 in Port Jefferson, New York
Provider Information
- NPI Number
- 1417045519
- Entity Type
- Organization
- Organization Name
- North Country Colorectal Surgery, PC
- Primary Specialty
- Surgery
- Enumeration Date
- Oct 11, 2006
- Last Updated
- Mar 14, 2008
Practice Location
- Address
- 41 N COUNTRY RD
- City
- Port Jefferson
- State
- New York
- ZIP Code
- 11777-2160
- Phone
- (631) 331-4672
Authorized Official
- Name
- DR. MARIA A BASILE, M.D.
- Title
- OWNER
- Phone
- (631) 331-4672
Specialties & Taxonomy Codes
| Specialty |
|---|
| Surgery |
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