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EASTERN LONG ISLAND GENERAL AND VASCULAR SURGERY PC
NPI 1083839617
Specialist in Southampton, NY

Active since April 17, 2007
335A MEETING HOUSE LN, SOUTHAMPTON, NY 11968(631) 287-6570(631) 287-6578 Get Directions Write a Review

NPPES record last updated: April 25, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Eastern Long Island General And Vascular Surgery Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EASTERN LONG ISLAND GENERAL AND VASCULAR SURGERY PC (NPI 1083839617) is a healthcare organization registered as a specialist in Southampton, New York and active in the NPI registry since April 2007. The organization lists Richard J Ricca, Surgeon, as its authorized official.

NPPES Registry Identity

NPI1083839617
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameEASTERN LONG ISLAND GENERAL AND VASCULAR SURGERY PC
Location Address335A MEETING HOUSE LNSouthampton, NY 11968-5051
Mailing Address335a Meeting House LnSouthampton, NY 11968-5051 · (631) 287-6570 · Fax (631) 287-6578
Phone(631) 287-6570
Fax(631) 287-6578
Organization SubpartNo
Authorized OfficialRichard J RiccaSurgeon · (631) 287-6570
Enumeration DateApril 17, 2007
Last NPPES UpdateApril 25, 2013
✔ NPI 1083839617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 143299
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

335A MEETING HOUSE LN, Southampton, NY 11968
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Other Identifiers 1

Medicare PINWCL711NY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RICHARD JAMES RICCA M.D., F.A.C.S.
Specialist
335A MEETING HOUSE LN
SOUTHAMPTON, NY 11968
Suffolk County (631) 287-6570

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eastern Long Island General And Vascular Surgery PC's NPI number?

The NPI number for Eastern Long Island General And Vascular Surgery PC is 1083839617. It was assigned to this organization in the NPPES registry on April 17, 2007.

Where is Eastern Long Island General And Vascular Surgery PC located?

Eastern Long Island General And Vascular Surgery PC is located at 335A Meeting House Ln, Southampton, NY 11968. The listed phone number is (631) 287-6570.

What is Eastern Long Island General And Vascular Surgery PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Eastern Long Island General And Vascular Surgery PC was last updated on April 25, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.