| NPI | 1154307262 |
|---|---|
| Doing Business As | D/B/A LONG ISLAND VASCULAR CENTER |
| Entity Type | Organization |
| Authorized Contact | LUCY CHANG Vice President 516-484-3430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2010-03-08 |