Organization Name: | MICHAEL J. SACCA, M.D., P.C. |
NPI Number: | 1104098698 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DENISE M. BELLO (OFFICE MANAGER) |
Mailing Address: | 580 Union Blvd West Islip |
State: | NY US |
Postal Code: | 117953105 |
Phone Number: | 6313216801 |
Fax Number: | 6313213869 |
NPI Enumeration Date: | 03/25/2008 |
NPI Last Update Date: | 03/25/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0129X |
License Number: | 203794 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Vascular Surgery |
Taxonomy Definition: | A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |