Organization
PREMIER SURGICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DANIELLE C CLARKE M.A. (MEDICAL ASSISTANT)
(631) 207-2807
Entity
Organization
Contact information
Practice address
285 SILLS RD, BLDG 3 SUITE 2A, PATCHOGUE, NY 11772
(631) 207-2807
(631) 207-5077
Mailing address
40 BRAYTON CT N, SOUTH SETAUKET, NY 11720-4625
(631) 475-6663
(631) 475-6664
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
221334-1
NY
Other
Enumeration date
12/06/2006
Last updated
07/23/2008
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