Surgical Group Prof Corp
Surgical Group Prof Corp is a Surgery Physician in Amityville, New York. Licensed in New York. Registered with an NPI since 2009.
- Licensed in
- NY
- In the registry since
- 2009
- Specialties on file
- 2
What do these letters mean?
- Corp — Corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
157 BroadwayAmityville, NY 11701-2729
Phone: (631) 598-7757
Fax: (631) 598-7759
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgery Physician (primary) | Taxonomy 208600000X · Licence 147879 (NY) |
|---|---|
| Vascular Surgery Physician | Taxonomy 2086S0129X · Licence 147879 (NY) |
Record details
| NPI number | 1710126271 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jeffrey Nussbaum — President · (631) 598-7757 |
| NPI enumerated | February 6, 2009 |
| Last updated in NPPES | February 6, 2009 |
| Mailing address | 157 Broadway, Amityville, NY 11701-2729 |