Organization
BREAST SURGERY ASSOCIATES,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET ELLIS (OFFICE MANAGER)
(631) 423-1414
Entity
Organization
Contact information
Practice address
152 E MAIN ST, SUITE A, HUNTINGTON, NY 11743-2958
(631) 423-1414
(631) 423-4902
Mailing address
152 E MAIN ST, SUITE A, HUNTINGTON, NY 11743-2958
(631) 423-1414
(631) 423-4902
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
12/06/2006
Last updated
08/22/2020
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