Islandwide Thoracic Surgery, PLLC
Islandwide Thoracic Surgery, PLLC provides Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician services in Port Jefferson Station, New York. Registered with an NPI since 2023.
- In the registry since
- 2023
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1500 Route 112 Ste BPort Jefferson Station, NY 11776-8055
Phone: (631) 353-0909
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (primary) | Taxonomy 208G00000X |
|---|
Record details
| NPI number | 1396438594 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Gregory Brevetti — Owner/ Provider · (917) 575-8907 |
| NPI enumerated | June 1, 2023 |
| Last updated in NPPES | June 1, 2023 |
| Certification date | June 1, 2023 |
| Mailing address | 1500 Route 112 Ste B, Port Jefferson Station, NY 11776-8055 |
Other providers in Port Jefferson Station
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Northeastern Thoracic Surgery, PLLC
1500 Route 112 Ste B, Port Jefferson Station, NY 11776-8055 · (631) 353-0909