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Organization
NEW YORK VASCULAR MEDICINE PLLC
Active
Organization
NEW YORK VASCULAR MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEV PUKIN MD (AUTHORIZED OFFICIAL)
(718) 737-7200
Entity
Organization
Contact information
Practice address
3049 OCEAN PKWY STE 303, BROOKLYN, NY 11235-8367
(718) 737-7200
(888) 960-2493
Mailing address
3049 OCEAN PKWY STE 303, BROOKLYN, NY 11235-8367
(718) 737-7200
(888) 960-2493
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
NULL
2085R0202X
Diagnostic Radiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
NULL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Enumeration date
01/31/2020
Last updated
10/31/2020
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