ANN L LETOURNEAU MD PC NPI 1265758486

NPI Information

  • NPI: 1265758486
  • Provider Name: ANN L LETOURNEAU MD PC
  • Classification: Surgery - 2086S0122X
  • Specialization: Plastic and Reconstructive Surgery
  • Entity Type: Organization
  • Address: 96 TERRYVILLE RD
    PORT JEFFERSON STATION, NY
    ZIP 11776
  • Phone: (631) 473-4200

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NPI Details

ANN L LETOURNEAU MD PC is a plastic and reconstructive surgery surgery in Port Jefferson Station, NY. The provider is a surgeon who specializes in plastic and reconstructive surgery. ANN L LETOURNEAU MD PC NPI is 1265758486. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

96 TERRYVILLE RD
PORT JEFFERSON STATION, NY
ZIP 11776-388
Phone: (631) 473-4200
Fax: (631) 473-4995

The provider's authorized official is Ann L Letourneau .
The authorized official title is Owner and has the following contact phone number (631) 473-4200.

The enumeration date for this NPI number is 4/13/2010 and was last updated on 12/3/2012.

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
12086S0122XSurgeryPlastic and Reconstructive Surgery197047NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1A100028526MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

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

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