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SOVEREIGN MEDICAL SERVICES PC NPI 1538451810


NPI Information

NPI: 1538451810
Provider Name: SOVEREIGN MEDICAL SERVICES, PC
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
1050 5TH AVE
GROUND FLOOR
NEW YORK, NY
ZIP 10028
Phone: (516) 277-2121
Get Directions

SOVEREIGN MEDICAL SERVICES, PC is a vascular surgery surgery in New York, NY. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. SOVEREIGN MEDICAL SERVICES, PC NPI is 1538451810. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1050 5TH AVE
GROUND FLOOR
NEW YORK, NY
ZIP 10028-110
Phone: (516) 277-2121
Fax: (516) 277-2122

The provider's authorized official is Jonathan S Landow .
The authorized official title is President and has the following contact phone number (516) 277-2121.

The enumeration date for this NPI number is 5/5/2011 and was last updated on 5/5/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0129XSurgeryVascular Surgery184141NEW YORKNo
22086S0129XSurgeryVascular Surgery217344NEW YORKYes

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: 4/28/2024

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