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Varicose Vein Medical Office PC

NPI 1174753875ActiveOrganization· Phlebology· Port Jefferson, NY

Phlebology in Port Jefferson, New York, registered in NPPES in July 2009. The authorized official on file is Carolyn Healy, Manager.

Overview

NPI1174753875
StatusActive
Entity typeOrganization
NPI issuedJul 16, 2009
Last updated in NPPESMar 16, 2015

Specialties and licenses

TaxonomyCodeLicenseState
Phlebology Primary202K00000X17481001NY

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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