VARICOSE VEIN MEDICAL OFFICE PC

PORT JEFFERSON, NY
NPI1356618615
Entity TypeOrganization
Authorized ContactJERRY NINIA
Owner
631-474-1414
Organization Subpart ?No
Primary Taxonomy202K00000X 
(Licence: NY  174810)
Enumeration Date2011-11-30
Last Update Date2011-11-30
Business Address
VARICOSE VEIN MEDICAL OFFICE PC
405 E MAIN ST
PORT JEFFERSON, NY 11777-1868
Phone number: 631-474-1414
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