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Organization
NORTH SHORE VASCULAR AND ENDOVASCULAR PLLC
Active
Organization
NORTH SHORE VASCULAR AND ENDOVASCULAR PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN HARTMANN (PRACTICE ADMINISTRATOR)
(516) 328-9800
Entity
Organization
Contact information
Practice address
2001 MARCUS AVE, SUITE S50, NEW HYDE PARK, NY 11042-1011
(516) 328-9800
(516) 328-9801
Mailing address
2001 MARCUS AVE, SUITE S50, NEW HYDE PARK, NY 11042-1011
(516) 328-9800
(516) 328-9801
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
195038
NY
2086S0129X
Vascular Surgery Physician
Primary
207067
NY
Other
Enumeration date
09/22/2010
Last updated
09/24/2010
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