Premier Surgical Pllc

NPI #1740349927 in Patchogue, New York

Provider Information

NPI Number: 1740349927
Entity Type: Organization
Organization Name: Premier Surgical Pllc
Primary Specialty: Surgery
Enumeration Date: Dec 6, 2006
Last Updated: Jul 23, 2008

Practice Location

Address: 285 SILLS RD
Address 2: BLDG 3 SUITE 2A
City: Patchogue
State: New York
ZIP Code: 11772
Phone: (631) 207-2807

Authorized Official

Name: MS. DANIELLE C CLARKE, M.A.
Title: MEDICAL ASSISTANT
Phone: (631) 207-2807

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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