Organization
VASCULAR SURGERY ASSOCIATE OF SUFFOLK COUNTY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE COWAN (MANAGER)
(631) 569-5410
Entity
Organization
Contact information
Practice address
33 MEDFORD AVE STE A, PATCHOGUE, NY 11772-1222
(631) 569-5410
(631) 569-5413
Mailing address
33 MEDFORD AVE STE A, PATCHOGUE, NY 11772-1222
(631) 569-5410
(631) 569-5413
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
—
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
02/17/2013
Last updated
12/23/2025
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