# SUFFOLK THORACIC SURGERY ASSOCIATES

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

## Provider details

- **NPI number:** 1215303441
- **Authorized official:** DR. SHEPPARD CLARK WEBB M.D. (OWNER)
- **Authorized official phone:** (631) 350-1909

## Contact information

- **Practice address:** 23 PHEASANT LN, EAST SETAUKET, NY 11733-2634
- **Practice address phone:** (631) 350-1909
- **Practice address fax:** (631) 368-1538
- **Mailing address:** 23 PHEASANT LN, EAST SETAUKET, NY 11733-2634
- **Mailing address phone:** (631) 350-1909
- **Mailing address fax:** (631) 368-1538

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 204395 | NY | Yes |

## Other

- **Enumeration date:** 08/11/2015
- **Last updated:** 08/11/2015