Park Vascular Llc

NPI 1245628163 - Clinical Medical Laboratory - 291U00000X

NPI Details
NPI 1245628163
Enumeration Date 12/30/2014
Last Updated 12/30/2014
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name MICHAEL MICHAEL
Position MEMBER, PHYSICIAN, VASCULAR TECH
Phone (718) 258-2437
Fax (718) 228-4233
Practice Location
990 E 23RD ST
BROOKLYN NY, 11210-3622, US
Phone (718) 258-2437
Fax (718) 228-4233
Business Location
990 E 23RD ST
BROOKLYN NY, 11210-3622, US
Phone (718) 258-2437
Fax (718) 228-4233
Toxanomy
Taxonomy Code 291U00000X
License State New York
License Number 126307
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According to our database, Park Vascular Llc NPI is 1245628163, taxonomy code is 291U00000X and license number is 126307, license state is located at New York. Park Vascular Llc physically located at 990 E 23rd St, Brooklyn NY, 11210-3622. NPI Number 1033115704 has the healthcare provider type.

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1245628163 NPI number is provided on an as is basis without warranty of any kind. 1245628163 is maintained by the National Plan & Provider Enumeration System. The contents of Park Vascular Llc are for informational purposes only.