Organization · Type 2 NPI

Fordham Professional Medical Services of New York LLC

Vascular Surgery Physician · Bronx, NY

NPI number 1124524970 Active

Practice location

11 E Fordham Rd Ste A
Bronx, NY 10468-5406

Call (847) 593-8460 Map

Fax (224) 235-4652

Mailing address

304 Wainwright Dr Ste 110
Northbrook, IL 60062-1919

Specialties and licenses

TaxonomyCodeLicense
Vascular Surgery Physician Primary 2086S0129XNone 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 1124524970

Fordham Professional Medical Services of New York LLC's National Provider Identifier is 1124524970, issued on Apr 2, 2018. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Bronx, NY. The record was last updated on Apr 2, 2018.