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Organization
EASTERN LONG ISLAND GENERAL AND VASCULAR SURGERY PC
Active
Organization
EASTERN LONG ISLAND GENERAL AND VASCULAR SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD J RICCA (SURGEON)
(631) 287-6570
Entity
Organization
Contact information
Practice address
335A MEETING HOUSE LN, SOUTHAMPTON, NY 11968-5051
(631) 287-6570
(631) 287-6578
Mailing address
335A MEETING HOUSE LN, SOUTHAMPTON, NY 11968-5051
(631) 287-6570
(631) 287-6578
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
143299
NY
Other
Enumeration date
04/17/2007
Last updated
04/25/2013
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