Organization

Riverhead Surgery, Pc

Clinic/Center in East Setauket, NY(View on Map)

Legal Business Name

Riverhead Surgery, Pc

NPI Number

1023574589

NPI Type

Organization

Enumeration Date

02/20/2019

Specialties

(Taxonomies)

Code

261Q00000X
208600000X

Primary Taxonomy

Yes
No

Contact
Information

Purpose

Mailing
Location

Address

4 TECHNOLOGY DRIVE
4 TECHNOLOGY DRIVE

City

East Setauket
East Setauket

State

NY
NY

Postal Code

11733-4085
11733-4085

Country

US
US

Telephone Number

(631) 476-9296
(631) 476-9296

Authorized Official

Name

Hesham Atwa

Title or Position

OWNER

Telephone Number

(631) 476-9296

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/10/2019

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