Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Island Surgical & Vascular Group, PC

Organization Surgery Physician · NPI 1639116759

Island Surgical & Vascular Group, PC is a Surgery Physician in Bay Shore, New York. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

15 Park Ave
Bay Shore, NY 11706-7381
Phone: (631) 581-4400
Fax: (631) 277-3750
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1639116759
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bradley Cohen — President · (631) 581-4400
NPI enumeratedMay 31, 2006
Last updated in NPPESDecember 1, 2009
Mailing address15 Park Ave, Bay Shore, NY 11706-7381

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