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

Varicose Vein Medical Office PC

Organization Phlebology Physician · NPI 1174753875

Varicose Vein Medical Office PC is a Phlebology Physician in Port Jefferson, New York. Licensed in New York. Registered with an NPI since 2009.

Licensed in
NY
In the registry since
2009
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

405 E Main St
Port Jefferson, NY 11777-1868
Phone: (631) 474-1414
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Phlebology Physician (primary) Taxonomy 202K00000X · Licence 17481001 (NY)

Record details

NPI number1174753875
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carolyn Healy — Manager · (631) 331-0500
NPI enumeratedJuly 16, 2009
Last updated in NPPESMarch 16, 2015
Mailing address405 E Main St, Port Jefferson, NY 11777-1868

Other providers in Port Jefferson