Organization
LONG ISLAND VASCULAR AND ENDOVASCULAR SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GUSTAVO TORRES MD (OWNER)
(631) 298-7720
Entity
Organization
Contact information
Practice address
300 E MAIN ST, SUITE 2, SMITHTOWN, NY 11787-2900
(631) 298-7720
(631) 298-7721
Mailing address
50 ROUTE 111, SUITE 315, SMITHTOWN, NY 11787-3738
(631) 298-7720
(631) 298-7721
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
237254
NY
Other
Enumeration date
02/03/2009
Last updated
04/17/2009
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