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Long Beach Vascular Gen Sur
Specialist in Long Beach, New York
NPI 1932125457

Long Beach Vascular Gen Sur is a Specialist based in Long Beach, NY. Long Beach Vascular Gen Sur practices in Long Beach, NY. The NPI Number for Long Beach Vascular Gen Sur is 1932125457 and holds a License No. 202814 (New York).

The current practice location address for Long Beach Vascular Gen Sur is 711 Lincoln Blvd, Long Beach, NY and can be reached out via phone at 516-432-1094 and via fax at 516-432-1095.

Location: 711 Lincoln Blvd, Long Beach, NY, 11561-2315
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1932125457
Provider Name
Long Beach Vascular Gen Sur
Credential
Provider Entity Type
Organization
Address
711 Lincoln Blvd, Long Beach, NY, 11561-2315
Phone Number
516-432-1094
Fax Number
516-432-1095
Provider Enumeration Date
07/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02076117 05 NY
institution
Provider Business Practice Location Address Details
Address
711 Lincoln Blvd
City
Long Beach
State
New York
Zip
11561-2315
Phone Number
516-432-1094
Fax Number
516-432-1095
person
Provider Business Mailing Address Details
Address
711 Lincoln Blvd
City
Long Beach
State
New York
Zip
11561-2315
Phone Number
516-432-1094
Fax Number
516-432-1095
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
202814 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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