# ADVANCED COLON AND RECTAL SURGERY LLC

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

## Provider details

- **NPI number:** 1710023031
- **Authorized official:** BRADLEY G BUTE MD (PRESIDENT PHYSICIAN)
- **Authorized official phone:** (631) 756-2888

## Contact information

- **Practice address:** 510 BROADHOLLOW ROAD, SUITE 307, MELVILLE, NY 11747-3710
- **Practice address phone:** (631) 756-2888
- **Practice address fax:** (631) 756-2880
- **Mailing address:** 510 BROADHOLLOW ROAD, SUITE 307, MELVILLE, NY 11747-3710
- **Mailing address phone:** (631) 756-2888
- **Mailing address fax:** (631) 756-2880

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208C00000X | Colon & Rectal Surgery Physician | — | NULL | Yes |
| 208C00000X | Colon & Rectal Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/30/2007
- **Last updated:** 05/01/2008