Varicose Vein Medical Office PC
NPI 1174753875 · Phlebology Physician · Port Jefferson, NY
Varicose Vein Medical Office PC is a Phlebology Physician organization in Port Jefferson, NY (NPI 1174753875).
Provider details
- NPI number
- 1174753875
- Entity type
- Organization
- Primary specialty
- Phlebology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Carolyn Healy, Manager(631) 331-0500
- License
- 17481001 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-07-16
- Last updated
- 2015-03-16
Frequently asked questions
- What is Varicose Vein Medical Office PC's NPI number?
- Varicose Vein Medical Office PC's National Provider Identifier (NPI) is 1174753875, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Varicose Vein Medical Office PC?
- Varicose Vein Medical Office PC is classified in the NPPES registry as Phlebology Physician (Allopathic & Osteopathic Physicians).
- Where is Varicose Vein Medical Office PC located?
- Varicose Vein Medical Office PC's practice location on file with NPPES is 405 E Main St, Port Jefferson, NY 11777-1868.
- What is Varicose Vein Medical Office PC's phone number?
- The practice phone number listed in the NPPES registry for Varicose Vein Medical Office PC is (631) 474-1414.
- Who is the authorized official for Varicose Vein Medical Office PC?
- The authorized official listed on Varicose Vein Medical Office PC's NPPES record is Carolyn Healy, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Varicose Vein Medical Office PC's NPI active?
- Yes — Varicose Vein Medical Office PC's NPI (1174753875) is active in the NPPES registry as of the last update on 2015-03-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.