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Organization
CARDIO THORACIC & VASCULAR SURGERY PC
Active
Organization
CARDIO THORACIC & VASCULAR SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SURYA R KUMAR MD (OWNER)
(631) 207-2078
Entity
Organization
Contact information
Practice address
475 E MAIN ST, SUITE 211, PATCHOGUE, NY 11772-3121
(631) 207-2078
(207) 207-2175
Mailing address
475 E MAIN ST, SUITE 211, PATCHOGUE, NY 11772-3121
(631) 207-2078
(207) 207-2175
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Enumeration date
03/05/2007
Last updated
02/13/2008
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