Top Tier Medical Breast Specialist PC

NPI #1720317662 in Lindenhurst, New York

Provider Information

NPI Number: 1720317662
Entity Type: Organization
Organization Name: Top Tier Medical Breast Specialist PC
Primary Specialty: Surgery
Enumeration Date: Dec 23, 2009
Last Updated: Dec 23, 2009

Practice Location

Address: 150 E SUNRISE HWY
Address 2: 208
City: Lindenhurst
State: New York
ZIP Code: 11757-2598
Phone: (631) 870-8721

Authorized Official

Name: MS. PATRICIA M FORTE
Title: DIRECTOR OF CONTRACTING
Phone: (631) 930-9422

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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