# VASCULAR INTERVENTIONAL SERVICES, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144553025
- **Authorized official:** DR. ROBERT M POLLINA M.D. (OWNER)
- **Authorized official phone:** (631) 476-9100

## Contact information

- **Practice address:** 1110B HALLOCK AVE, PORT JEFFERSON STA, NY 11776-1210
- **Practice address phone:** (631) 476-9100
- **Practice address fax:** (631) 476-4919
- **Mailing address:** 1110B HALLOCK AVENUE, PORT JEFFERSON STATION, NY 11776-1210
- **Mailing address phone:** (631) 476-9100
- **Mailing address fax:** (631) 476-4919

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | 099574 | NY | — |
| 2086S0129X | Vascular Surgery Physician | 186340 | NY | Yes |
| 2086S0129X | Vascular Surgery Physician | 193100 | NY | — |
| 2086S0129X | Vascular Surgery Physician | 221708 | NY | — |

## Other

- **Enumeration date:** 09/10/2009
- **Last updated:** 05/25/2016