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Organization

SOUTHWEST SUFFOLK MEDICAL, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DAVE M HANNIGAN JR. (MANAGER OF PHYSICIANS BILL)
(631) 224-8533
Entity
Organization

Contact information

Practice address
48 ROUTE 25A, SMITHTOWN, NY 11787-1431
(631) 862-3000
(631) 224-8560
Mailing address
48 ROUTE 25A, SMITHTOWN, NY 11787-1431
(631) 862-3000
(631) 224-8560

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2086X0206X
Surgical Oncology Physician
Primary

Other

Enumeration date
03/06/2008
Last updated
04/28/2008
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