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

Sovereign Medical Services PC

Organization Vascular Surgery Physician · NPI 1629380449

Sovereign Medical Services PC is a Vascular Surgery Physician in Jericho, New York. Licensed in New York. Registered with an NPI since 2010.

Licensed in
NY
In the registry since
2010
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

420 Jericho Tpke Ste 212
Jericho, NY 11753-1344
Phone: (516) 277-2121
Fax: (516) 277-2122
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 176016 (NY)

Record details

NPI number1629380449
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jonathan Landow — President · (516) 277-2121
NPI enumeratedJuly 9, 2010
Last updated in NPPESJuly 9, 2010
Mailing address420 Jericho Tpke, Suite 212, Jericho, NY 11753-1344

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