Organization · Type 2 NPI

St. Nicholas Professional Medical Services of New York LLC

Vascular Surgery Physician · New York, NY

NPI number 1033631064 Active

About NPI 1033631064

St. Nicholas Professional Medical Services of New York LLC's National Provider Identifier is 1033631064, issued on Jul 11, 2017. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in New York, NY. The record was last updated on Jul 11, 2017.