Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Great South Bay Surgical Associates and Vascular Lab, LLP

Organization Surgery Physician · NPI 1891832572

Great South Bay Surgical Associates and Vascular Lab, LLP provides Surgery Physician services in West Islip, New York. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
4
What do these letters mean?
LLP — Limited liability partnership
A form of business registration, not a clinical qualification.

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Practice location Address checks out

580 Union Blvd
West Islip, NY 11795-3105 Not confirmed with CMS for 16 years — call before visiting
Phone: (631) 321-6801
Fax: (631) 321-3869
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X
Trauma Surgery Physician Taxonomy 2086S0127X
Vascular Surgery Physician Taxonomy 2086S0129X
Surgical Physician Assistant Taxonomy 363AS0400X

Record details

NPI number1891832572
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Denise Bello — Office Manager · (631) 321-6801
NPI enumeratedJanuary 31, 2007
Last updated in NPPESNovember 13, 2009
Mailing address580 Union Blvd, West Islip, NY 11795-3105

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