Organization
VARICOSE VEIN MEDICAL OFFICE PC
Active
Organization
VARICOSE VEIN MEDICAL OFFICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY NINIA MD (OWNER)
(631) 474-1414
Entity
Organization
Contact information
Practice address
405 E MAIN ST, PORT JEFFERSON, NY 11777-1868
(631) 474-1414
(631) 474-2032
Mailing address
405 E MAIN ST, PORT JEFFERSON, NY 11777-1868
(631) 474-1414
(631) 474-2032
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
174810
NY
Other
Enumeration date
11/30/2011
Last updated
11/30/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up