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1174753875
VARICOSE VEIN MEDICAL OFFICE PC
PORT JEFFERSON, NY
NPI
1174753875
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Entity Type
Organization
Authorized Contact
CAROLYN HEALY
Manager
631-331-0500
Organization Subpart ?
No
Primary Taxonomy
202K00000X
(Licence: NY 17481001)
Enumeration Date
2009-07-16
Last Update Date
2015-03-16
Business Address
VARICOSE VEIN MEDICAL OFFICE PC
405 E MAIN ST
PORT JEFFERSON, NY 11777-1868
Phone number: 631-474-1414
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Mailing Address
VARICOSE VEIN MEDICAL OFFICE PC
405 E MAIN ST
PORT JEFFERSON, NY 11777-1868
Phone number: 631-474-1414
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VARICOSE VEIN MEDICAL OFFICE PC