SETAUKET SURGERY PC NPI 1104287432

NPI Information

  • NPI: 1104287432
  • Provider Name: SETAUKET SURGERY, PC
  • Classification: Surgery - 208600000X
  • Entity Type: Organization
  • Address: 4 TECHNOLOGY DR
    SUITE 220
    EAST SETAUKET, NY
    ZIP 11733
  • Phone: (631) 476-9296

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NPI Details

SETAUKET SURGERY, PC is a surgery in East Setauket, NY. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. SETAUKET SURGERY, PC NPI is 1104287432. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4 TECHNOLOGY DR
SUITE 220
EAST SETAUKET, NY
ZIP 11733-080
Phone: (631) 476-9296
Fax: (631) 476-9298

The provider's authorized official is Hesham M Atwa .
The authorized official title is Owner and has the following contact phone number (631) 476-9296.

The enumeration date for this NPI number is 3/15/2016 and was last updated on 3/15/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgery221306NEW YORKYes

What is NPI?

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This page was last updated on: 11/21/2025

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