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Organization
VASCULAR SURGERY ASSOCIATE OF SUFFOLK COUNTY, PLLC
Active
Organization
VASCULAR SURGERY ASSOCIATE OF SUFFOLK COUNTY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE COWAN (MANAGER)
(631) 569-5410
Entity
Organization
Contact information
Practice address
33 MEDFORD AVE STE A, PATCHOGUE, NY 11772-1222
(631) 569-5410
(631) 569-5413
Mailing address
33 MEDFORD AVE STE A, PATCHOGUE, NY 11772-1222
(631) 569-5410
(631) 569-5413
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
NULL
207RC0000X
Cardiovascular Disease Physician
—
—
2086S0129X
Vascular Surgery Physician
Primary
—
NULL
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
02/17/2013
Last updated
12/23/2025
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