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Organization

JEFFERSON MEDICAL SURGERY PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANDREW NICHOLAS ZENIOU MD (PRESIDENT/PHYSICIAN)
(631) 706-0018
Entity
Organization

Contact information

Practice address
200 E MAIN ST STE 1E, SMITHTOWN, NY 11787-2812
(631) 265-4567
Mailing address
226 N BELLE MEAD RD, EAST SETAUKET, NY 11733-3524
(631) 706-0018
(631) 706-0024

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
191667
NY

Other

Enumeration date
09/08/2011
Last updated
09/08/2011
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