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Port Jefferson Asc, Llc
Ambulatory Surgical Clinic/Center in Port Jefferson Station, New York
NPI 1881134815

Port Jefferson Asc, Llc is an Ambulatory Surgical Clinic/Center based in Port Jefferson Station, NY and is specialized in Ambulatory Surgical. Port Jefferson Asc, Llc practices in Port Jefferson Station, NY. The NPI Number for Port Jefferson Asc, Llc is 1881134815 and holds a License No. (New York).

The current practice location address for Port Jefferson Asc, Llc is 1500 Route 112, Port Jefferson Station, NY and can be reached out via phone at 720-287-5362.

Location: 1500 Route 112, Port Jefferson Station, NY, 11776-8054
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1881134815
Provider Name
Port Jefferson Asc, Llc
Credential
Provider Entity Type
Organization
Address
1500 Route 112, Port Jefferson Station, NY, 11776-8054
Phone Number
720-287-5362
Fax Number
Provider Enumeration Date
02/23/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1500 Route 112
City
Port Jefferson Station
State
New York
Zip
11776
Phone Number
720-287-5362
Fax Number
person
Provider Business Mailing Address Details
Address
1500 Route 112
City
Port Jefferson Station
State
New York
Zip
11776
Phone Number
720-287-5362
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
261QA1903X
License No.
()
Definition
Definition to come...
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