SUFFOLK INTERVENTIONAL SUITES INC. NPI 1679716245

NPI Information

NPI: 1679716245
Provider Name: SUFFOLK INTERVENTIONAL SUITES INC.
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
1110B HALLOCK AVENUE
PORT JEFFERSON STATION, NY
ZIP 11776
Phone: (631) 476-9100
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SUFFOLK INTERVENTIONAL SUITES INC. is an ambulatory surgical clinic center in Port Jefferson Station, NY. SUFFOLK INTERVENTIONAL SUITES INC. NPI is 1679716245. The provider is registered as an organization entity type.

The provider's business location address is:

1110B HALLOCK AVENUE
PORT JEFFERSON STATION, NY
ZIP 11776-210
Phone: (631) 476-9100

The provider's authorized official is Robert M Pollina .
The authorized official title is President and has the following contact phone number (631) 476-9100.

The enumeration date for this NPI number is 4/13/2009 and was last updated on 4/13/2009.

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
1	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

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: 11/14/2023

NPI Synchronization or Removal

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