Organization · Type 2 NPI
Jamaica Queens Professional Medical Services of New York LLC
Vascular Surgery Physician · Jamaica, NY
NPI number
1578080966
Active
Practice location
16203 Jamaica Ave Unit 200A
Jamaica, NY 11432
Fax (224) 246-8042
Mailing address
304 Wainwright Dr
Northbrook, IL 60062-1900
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Vascular Surgery Physician Primary | 2086S0129X | 036105104 (IL) |
Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Other vascular surgery physician providers in Jamaica
About NPI 1578080966
Jamaica Queens Professional Medical Services of New York LLC's National Provider Identifier is 1578080966, issued on Aug 25, 2017. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Jamaica, NY. The record was last updated on Jun 11, 2018.