# NORTH SHORE VASCULAR SURGERY, PC

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

## Provider details

- **NPI number:** 1962889345
- **Authorized official:** DR. AHMAD F BHATTI MD, RVT, FACS (VASCULAR SURGEON / OWNER)
- **Authorized official phone:** (631) 805-5956

## Contact information

- **Practice address:** 620 BELLE TERRE RD, SUITE NO. 2, PORT JEFFERSON, NY 11777-2500
- **Practice address phone:** (631) 524-5960
- **Practice address fax:** (631) 524-5963
- **Mailing address:** 620 BELLE TERRE RD, SUITE NO. 2, PORT JEFFERSON, NY 11777-2500
- **Mailing address phone:** (631) 524-5960
- **Mailing address fax:** (631) 524-5963

## Taxonomy

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

## Other

- **Enumeration date:** 05/05/2015
- **Last updated:** 05/16/2023