Varicose Vein Medical Office PC
Varicose Vein Medical Office PC is a Phlebology Physician in Port Jefferson, New York. Licensed in New York. Registered with an NPI since 2011.
- Licensed in
- NY
- In the registry since
- 2011
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
405 E Main StPort Jefferson, NY 11777-1868
Phone: (631) 474-1414
Fax: (631) 474-2032
Show map & directions
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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 174810 (NY) |
|---|
Record details
| NPI number | 1356618615 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jerry Ninia — Owner · (631) 474-1414 |
| NPI enumerated | November 30, 2011 |
| Last updated in NPPES | November 30, 2011 |
| Mailing address | 405 E Main St, Port Jefferson, NY 11777-1868 |
Other providers in Port Jefferson
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Varicose Vein Medical Office PC
405 E Main St, Port Jefferson, NY 11777-1868 · (631) 474-1414