Organization · Type 2 NPI
Pelham Pkwy Professional Medical Services of New York LLC
Vascular Surgery Physician · Bronx, NY
NPI number
1063926962
Active
Practice location
2157 White Plains Rd Ste A
Bronx, NY 10462
Mailing address
PO Box 32
Northbrook, IL 60065-0032
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Vascular Surgery Physician Primary | 2086S0129X | None listed |
Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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About NPI 1063926962
Pelham Pkwy Professional Medical Services of New York LLC's National Provider Identifier is 1063926962, issued on Nov 30, 2017. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Bronx, NY. The record was last updated on Jun 4, 2020.