Organization · Type 2 NPI
USA Professional Medical Services of New York LLC
Vascular Surgery Physician · Ridgewood, NY
NPI number
1962895680
Active
Practice location
5920 Myrtle Ave
Ridgewood, NY 11385-5658
Fax (224) 246-8042
Mailing address
4141 Dundee Rd
Northbrook, IL 60062-2129
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Vascular Surgery Physician Primary | 2086S0129X | None listed |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 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.
About NPI 1962895680
USA Professional Medical Services of New York LLC's National Provider Identifier is 1962895680, issued on Mar 5, 2015. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Ridgewood, NY. The record was last updated on Mar 5, 2015.