# SUFFOLK VASCULAR ASSOCIATES, PLLC

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

## Provider details

- **NPI number:** 1720059926
- **Authorized official:** DR. ROBERT L. POLLINA M.D. (PRESIDENT)
- **Authorized official phone:** (631) 476-9100

## Contact information

- **Practice address:** 1110 HALLOCK AVE, PORT JEFFERSON STATION, NY 11776-1210
- **Practice address phone:** (631) 476-9100
- **Mailing address:** 1110 HALLOCK AVE, PORT JEFFERSON STATION, NY 11776-1210
- **Mailing address phone:** (631) 476-9100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/27/2006
- **Last updated:** 08/22/2020
