Organization
BROOKHAVEN SURGICAL SERVICES, P.C.
Active
Other names
Brookhaven Bariatric and Wellness Program
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CRAIG ORDWAY MD (OWNER)
(631) 687-5400
Entity
Organization
Contact information
Practice address
55 MEDFORD AVE, SUITE D, PATCHOGUE, NY 11772-1229
(631) 687-5400
(631) 687-5430
Mailing address
55 MEDFORD AVE, SUITE D, PATCHOGUE, NY 11772-1229
(631) 687-5400
(631) 687-5430
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
09/30/2009
Last updated
09/30/2009
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