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Organization
VASCULAR LAB
Active
Organization
VASCULAR LAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DINKER B RAI SR. MD (DIRECTOR OF VASCULAR LABS)
(718) 613-4090
Entity
Organization
Contact information
Practice address
1545 ATLANTIC AVE, BROOKLYN, NY 11213-1122
(718) 613-4090
(718) 837-0398
Mailing address
1545 ATLANTIC AVE, BROOKLYN, NY 11213-1122
(718) 613-4090
(718) 837-0398
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1287291
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00335626
—
NY
Enumeration date
04/06/2007
Last updated
08/22/2020
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