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THE NITESURGEON PLLC NPI 1851618540


NPI Information

NPI: 1851618540
Provider Name: THE NITESURGEON PLLC
Classification: Surgery - 208600000X
Entity Type: Organization
Address:
21 LAUREL AVE
SUITE 240
CORNWALL, NY
ZIP 12518
Phone: (845) 534-0008
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THE NITESURGEON PLLC is a surgery in Cornwall, 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. THE NITESURGEON PLLC NPI is 1851618540. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

21 LAUREL AVE
SUITE 240
CORNWALL, NY
ZIP 12518-469
Phone: (845) 534-0008
Fax: (845) 534-0018

The provider's authorized official is Thomas V. Robb .
The authorized official title is Owner and has the following contact phone number (845) 534-0008.

The enumeration date for this NPI number is 4/21/2010 and was last updated on 12/31/2013.


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
1208600000XSurgery209975NEW 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
1A100083626MEDICARE PINNEW YORK

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: 5/5/2024

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