Organization
NASSAU SUFFOLK SURGICAL SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES E. THOMPSON III MD (CO-OWNER)
(404) 396-9039
Entity
Organization
Contact information
Practice address
110 E MAIN ST STE 6, HUNTINGTON, NY 11743-2845
(631) 424-3600
Mailing address
110 E MAIN ST STE 6, HUNTINGTON, NY 11743-2845
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
08/17/2020
Last updated
10/06/2020
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