Organization
VASCULAR INTERVENTIONAL SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT M POLLINA M.D. (OWNER)
(631) 476-9100
Entity
Organization
Contact information
Practice address
1110B HALLOCK AVE, PORT JEFFERSON STA, NY 11776-1210
(631) 476-9100
(631) 476-4919
Mailing address
1110B HALLOCK AVENUE, PORT JEFFERSON STATION, NY 11776-1210
(631) 476-9100
(631) 476-4919
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
099574
NY
2086S0129X
Vascular Surgery Physician
Primary
186340
NY
2086S0129X
Vascular Surgery Physician
193100
NY
2086S0129X
Vascular Surgery Physician
221708
NY
Other
Enumeration date
09/10/2009
Last updated
05/25/2016
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