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Organization

SETAUKET SURGERY, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HESHAM M ATWA MD (OWNER)
(631) 476-9296
Entity
Organization

Contact information

Practice address
4 TECHNOLOGY DR, SUITE 220, EAST SETAUKET, NY 11733-4080
(631) 476-9296
(631) 476-9298
Mailing address
4 TECHNOLOGY DRIVE, SUITE 220, EAST SETAUKET, NY 11733-4085
(631) 476-9296
(631) 476-9298

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
221306
NY

Other

Enumeration date
03/15/2016
Last updated
03/15/2016
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