# NORTHERN VALLEY VASCULAR ASSOCIATES

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

## Provider details

- **NPI number:** 1124035217
- **Authorized official:** DR. MATTHEW MARTIN NALBANDIAN M.D. (MANAGING MEMBER)
- **Authorized official phone:** (212) 254-6882

## Contact information

- **Practice address:** 48 BI STATE PLZ \# 225, OLD TAPPAN, NJ 07675-7003
- **Practice address phone:** (212) 254-6882
- **Practice address fax:** (212) 254-6886
- **Mailing address:** 48 BI STATE PLZ \# 225, OLD TAPPAN, NJ 07675-7003
- **Mailing address phone:** (212) 254-6882
- **Mailing address fax:** (212) 254-6886

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | 210651 | NY | Yes |

## Other

- **Enumeration date:** 08/02/2006
- **Last updated:** 02/03/2017
