PORT JEFFERSON ASC, LLC

PORT JEFFERSON STATION, NY
NPI1881134815
Entity TypeOrganization
Authorized ContactLISA A AUSTIN
Manager
631-828-5555
Organization Subpart ?No
Primary Taxonomy261QA1903X Clinic/Center, Ambulatory Surgical
Enumeration Date2017-02-23
Last Update Date2018-07-20
Business Address
PORT JEFFERSON ASC, LLC
1500 ROUTE 112 BLDG 3
PORT JEFFERSON STATION, NY 11776
Phone number: 720-287-5362
Mailing Address
PORT JEFFERSON ASC, LLC
1500 ROUTE 112 BLDG 3
PORT JEFFERSON STATION, NY 11776-8054
Phone number: 631-828-5555
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