Organization · Type 2 NPI

Mott Haven Professional Medical of New York LLC

Vascular Surgery Physician · Bronx, NY

NPI number 1922525781 Active

Practice location

384 E 149th St
Bronx, NY 10455-3908

Call (718) 301-1100 Map

Fax (224) 246-8042

Mailing address

304 Wainwright Dr
Northbrook, IL 60062-1900

Specialties and licenses

TaxonomyCodeLicense
Vascular Surgery Physician Primary 2086S0129X265506 (NY)

Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

8 other providers at this address

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About NPI 1922525781

Mott Haven Professional Medical of New York LLC's National Provider Identifier is 1922525781, issued on Aug 23, 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 Mar 26, 2018.