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Organization
SUFFOLK INTERVENTIONAL SUITES INC.
Active
Organization
SUFFOLK INTERVENTIONAL SUITES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT M POLLINA MD (PRESIDENT)
(631) 476-9100
Entity
Organization
Contact information
Practice address
1110B HALLOCK AVENUE, PORT JEFFERSON STATION, NY 11776-1210
(631) 476-9100
Mailing address
1110B HALLOCK AVENUE, PORT JEFFERSON STATION, NY 11776-1210
(631) 476-9100
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
04/13/2009
Last updated
04/13/2009
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