institution
Mott Haven Professional Medical Of New York Llc
Vascular Surgery Physician in Bronx, New York
NPI 1922525781

Mott Haven Professional Medical Of New York Llc is a Vascular Surgery Physician based in Northbrook, NY and is specialized in Vascular Surgery. Mott Haven Professional Medical Of New York Llc practices in Bronx, NY. The NPI Number for Mott Haven Professional Medical Of New York Llc is 1922525781 and holds a License No. 265506 (New York).

The current practice location address for Mott Haven Professional Medical Of New York Llc is 384 E 149Th St, Bronx, NY and can be reached out via phone at 718-301-1100 and via fax at 224-246-8042.

Location: 384 E 149Th St, Bronx, NY, 60062-1900
institution
Provider Profile Details
NPI Number
1922525781
Provider Name
Mott Haven Professional Medical Of New York Llc
Credential
Provider Entity Type
Organization
Address
384 E 149Th St, Bronx, NY, 60062-1900
Phone Number
718-301-1100
Fax Number
224-246-8042
Provider Enumeration Date
08/23/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036105104 05 IL
institution
Provider Business Practice Location Address Details
Address
384 E 149Th St
City
State
Zip
10455-3908
Phone Number
718-301-1100
Fax Number
224-246-8042
person
Provider Business Mailing Address Details
Address
384 E 149Th St
City
State
Zip
10455-3908
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.
265506 (New York)
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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