institution
St. Nicholas Professional Medical Services Of New York Llc
Vascular Surgery Physician in New York, New York
NPI 1033631064

St. Nicholas Professional Medical Services Of New York Llc is a Vascular Surgery Physician based in Northbrook, NY and is specialized in Vascular Surgery. St. Nicholas Professional Medical Services Of New York Llc practices in New York, NY. The NPI Number for St. Nicholas Professional Medical Services Of New York Llc is 1033631064 and holds a License No. (New York).

The current practice location address for St. Nicholas Professional Medical Services Of New York Llc is 1264 Saint Nicholas Ave Ste A, New York, NY and can be reached out via phone at 718-301-1100 and via fax at 224-246-8042.

Location: 1264 Saint Nicholas Ave Ste A, New York, NY, 60062-1900
institution
Provider Profile Details
NPI Number
1033631064
Provider Name
St. Nicholas Professional Medical Services Of New York Llc
Credential
Provider Entity Type
Organization
Address
1264 Saint Nicholas Ave Ste A, New York, NY, 60062-1900
Phone Number
718-301-1100
Fax Number
224-246-8042
Provider Enumeration Date
07/11/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036113246 05 IL
institution
Provider Business Practice Location Address Details
Address
1264 Saint Nicholas Ave Ste A
City
State
Zip
10033-7263
Phone Number
718-301-1100
Fax Number
224-246-8042
person
Provider Business Mailing Address Details
Address
1264 Saint Nicholas Ave Ste A
City
State
Zip
10033-7263
Phone Number
718-301-1100
Fax Number
224-246-8042
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
License No.
()
Definition
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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