Organization
SUFFOLK THORACIC SURGERY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHEPPARD CLARK WEBB M.D. (OWNER)
(631) 350-1909
Entity
Organization
Contact information
Practice address
23 PHEASANT LN, EAST SETAUKET, NY 11733-2634
(631) 350-1909
(631) 368-1538
Mailing address
23 PHEASANT LN, EAST SETAUKET, NY 11733-2634
(631) 350-1909
(631) 368-1538
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
204395
NY
Other
Enumeration date
08/11/2015
Last updated
08/11/2015
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