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Sovereign Medical Services Pc
Vascular Surgery Physician in Jericho, New York
NPI 1629380449

Sovereign Medical Services Pc is a Vascular Surgery Physician based in Jericho, NY and is specialized in Vascular Surgery. Sovereign Medical Services Pc practices in Jericho, NY. The NPI Number for Sovereign Medical Services Pc is 1629380449 and holds a License No. 176016 (New York).

The current practice location address for Sovereign Medical Services Pc is 420 Jericho Tpke, Jericho, NY and can be reached out via phone at 516-277-2121 and via fax at 516-277-2122.

Location: 420 Jericho Tpke, Jericho, NY, 11753-1344
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629380449
Provider Name
Sovereign Medical Services Pc
Credential
Provider Entity Type
Organization
Address
420 Jericho Tpke, Jericho, NY, 11753-1344
Phone Number
516-277-2121
Fax Number
516-277-2122
Provider Enumeration Date
07/09/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
420 Jericho Tpke
City
Jericho
State
New York
Zip
11753-1344
Phone Number
516-277-2121
Fax Number
516-277-2122
person
Provider Business Mailing Address Details
Address
420 Jericho Tpke
City
Jericho
State
New York
Zip
11753-1344
Phone Number
516-277-2121
Fax Number
516-277-2122
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
2086S0129X
License No.
176016 (New York)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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