Northeastern Thoracic Surgery, Pllc

LBN: Northeastern Thoracic Surgery, Pllc
Northeastern Thoracic Surgery, Pllc is an health care organization with primary practice located at 1500 Route 112 Ste B , Port Jefferson Station NY 11776-8055. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as the primary health care specialty. Northeastern Thoracic Surgery, Pllc can be contacted via phone (631) 353-0909, or through Brevetti, Gregory via phone (917) 575-8907.

Contact Information

Primary practice address
1500 Route 112 Ste B Port Jefferson Station NY 11776-8055
Phone: (631) 353-0909
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Brevetti, Gregory
Phone: (917) 575-8907

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X

Profile Details

NPI number 1558054759
LBN Legal business name Northeastern Thoracic Surgery, Pllc
DBA Doing business as
Authorized official Brevetti, Gregory
Entity Organization
Organization subpart 1 No
Enumeration date Jun 1st, 2023
Last updated Jun 1st, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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