# VASCULAR DIAGNOSTIC LAB OF NY,LLC

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

## Provider details

- **NPI number:** 1285752246
- **Authorized official:** DR. PINKUS H. SZUCHMACHER M.D. (OWNER)
- **Authorized official phone:** (718) 261-4411

## Contact information

- **Practice address:** 10914 ASCAN AVE, SUITE 1A, FOREST HILLS, NY 11375-5370
- **Practice address phone:** (718) 261-4411
- **Practice address fax:** (718) 793-6064
- **Mailing address:** 10914 ASCAN AVE, SUITE 1A, FOREST HILLS, NY 11375-5370
- **Mailing address phone:** (718) 261-4411
- **Mailing address fax:** (718) 793-6064

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 293D00000X | Physiological Laboratory | — | NULL | Yes |

## Other

- **Enumeration date:** 03/27/2007
- **Last updated:** 12/12/2007