Organization · Type 2 NPI

Valley Stream Professional Medical Services, LLC

Vascular Surgery Physician · Valley Stream, NY

NPI number 1356739668 Active

Practice location

260 W Sunrise Hwy
Valley Stream, NY 11581-1011

Call (718) 310-1100 Map

Fax (224) 246-8042

Mailing address

4141 Dundee Rd
Northbrook, IL 60062-2129

Specialties and licenses

TaxonomyCodeLicense
Vascular & Interventional Radiology Physician 2085R0204XNone listed
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 1356739668

Valley Stream Professional Medical Services, LLC's National Provider Identifier is 1356739668, issued on Jan 8, 2015. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Valley Stream, NY. The record was last updated on Jan 8, 2015.