Organization
CENTRAL SUFFOLK SURGICAL,PC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BOGDAN MAKARTCHUK MD.,DO. (DIRECTOR)
(631) 686-5588
Entity
Organization
Contact information
Practice address
5 PUMPKIN RD, SAINT JAMES, NY 11780-3117
(631) 686-5588
Mailing address
5 PUMPKIN RD, SAINT JAMES, NY 11780-3117
(631) 686-5588
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
239761
NY
Other
Enumeration date
06/05/2012
Last updated
06/05/2012
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