Organization
SUFFOLK SURGICAL GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD B RUBENSTEIN MD (PRESIDENT)
(631) 475-1013
Entity
Organization
Contact information
Practice address
250 PATCHOGUE YAPHANK RD, SUITE 7, EAST PATCHOGUE, NY 11772-4800
(631) 475-1013
(631) 475-5602
Mailing address
250 PATCHOGUE YAPHANK RD, SUITE 7, EAST PATCHOGUE, NY 11772-4800
(631) 475-1013
(631) 475-5602
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01541157
—
NY
Enumeration date
07/04/2006
Last updated
10/16/2007
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