Provider Demographics
NPI:1679108914
Name:PRECISION SC, LLC
Entity Type:Organization
Organization Name:PRECISION SC, LLC
Other - Org Name:PRECISIONCARE SURGERY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT OF THE GOVERNING BODY
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:PUOPOLO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:631-689-4180
Mailing Address - Street 1:28 RESEARCH WAY
Mailing Address - Street 2:
Mailing Address - City:EAST SETAUKET
Mailing Address - State:NY
Mailing Address - Zip Code:11733-3453
Mailing Address - Country:US
Mailing Address - Phone:631-380-2901
Mailing Address - Fax:631-615-7311
Practice Address - Street 1:28 RESEARCH WAY
Practice Address - Street 2:
Practice Address - City:EAST SETAUKET
Practice Address - State:NY
Practice Address - Zip Code:11733-3453
Practice Address - Country:US
Practice Address - Phone:631-380-2901
Practice Address - Fax:631-615-7311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-06
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical