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SOUTH NASSAU PHYSICIAN PRACTICE PC NPI 1962652685


NPI Information

NPI: 1962652685
Provider Name: SOUTH NASSAU PHYSICIAN PRACTICE PC
Classification: Surgery - 208600000X
Entity Type: Organization
Address:
1 S CENTRAL AVE
VALLEY STREAM, NY
ZIP 11580
Phone: (516) 632-3350
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SOUTH NASSAU PHYSICIAN PRACTICE PC is a surgery in Valley Stream, 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. SOUTH NASSAU PHYSICIAN PRACTICE PC NPI is 1962652685. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1 S CENTRAL AVE
VALLEY STREAM, NY
ZIP 11580-443
Phone: (516) 632-3350
Fax: (516) 632-3355

The provider's authorized official is Rajiv V Datta .
The authorized official title is Director and has the following contact phone number (516) 632-3350.

The enumeration date for this NPI number is 9/30/2008 and was last updated on 9/30/2008.


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
1208600000XSurgery200879NEW YORKNo
2208600000XSurgery242239NEW YORKNo
3208600000XSurgery201327NEW 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: 11/14/2023

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