Organization
SOUND SHORE SURGICAL ASSOC OF NEW ROCHELLE LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEONARD MAFFUCCI MD (PARTNER)
(914) 632-9650
Entity
Organization
Contact information
Practice address
140 LOCKWOOD AVE SUITE 103, NEW ROCHELLE, NY 10801-4915
(914) 632-9650
(914) 636-8726
Mailing address
140 LOCKWOOD AVE SUITE 103, NEW ROCHELLE, NY 10801-4915
(914) 632-9650
(914) 636-8726
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
130100
NY
208600000X
Surgery Physician
Primary
168873
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WEN501
MEDICARE PROVIDER NUMBER
—
Enumeration date
03/13/2008
Last updated
03/13/2008
Update your record
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