Sovereign Medical Services PC

NPI #1629380449 in Jericho, New York

Provider Information

NPI Number: 1629380449
Entity Type: Organization
Organization Name: Sovereign Medical Services PC
Primary Specialty: Surgery - Vascular Surgery
Enumeration Date: Jul 9, 2010
Last Updated: Jul 9, 2010

Practice Location

Address: 420 JERICHO TPKE
Address 2: SUITE 212
City: Jericho
State: New York
ZIP Code: 11753-1344
Phone: (516) 277-2121

Authorized Official

Name: DR. JONATHAN LANDOW, MD
Title: PRESIDENT
Phone: (516) 277-2121

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery - Vascular Surgery — Vascular Surgery	2086S0129X	Primary

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