| NPI | 1851528434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD LEV Owner 646-752-3584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery |
| Additional Taxonomies | 202K00000X Phlebology |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2013-02-26 |