# LASER AND VEIN CENTER

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

## Provider details

- **NPI number:** 1801557657
- **Authorized official:** BENJAMIN YAM (MD)
- **Authorized official phone:** (516) 851-4211

## Contact information

- **Practice address:** 95 NORMAN AVE, BROOKLYN, NY 11222-2937
- **Practice address phone:** (201) 870-0033
- **Practice address fax:** (219) 300-5903
- **Mailing address:** 95 NORMAN AVE, BROOKLYN, NY 11222-2937
- **Mailing address phone:** (201) 870-0033
- **Mailing address fax:** (219) 300-5903

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0202X | Diagnostic Radiology Physician | — | NULL | — |
| 2085R0202X | Diagnostic Radiology Physician | — | — | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | NULL | Yes |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/04/2022
- **Last updated:** 01/04/2022
