# NELSON MENEZES VASCULAR SPECIALIST PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063616589
- **Authorized official:** NELSON MENEZES MD (PRESIDENT)
- **Authorized official phone:** (718) 250-6237

## Contact information

- **Practice address:** 240 WILLOUGHBY ST, 5A, BROOKLYN, NY 11201-5465
- **Practice address phone:** (718) 250-6237
- **Practice address fax:** (718) 250-8460
- **Mailing address:** 75 88TH ST, BROOKLYN, NY 11209-5523
- **Mailing address phone:** (718) 250-6237
- **Mailing address fax:** (718) 238-2249

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | 194948 | NY | Yes |

## Other

- **Enumeration date:** 06/11/2007
- **Last updated:** 03/27/2008