# VARICOSE CARE MEDICAL PC

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

## Provider details

- **NPI number:** 1821361312
- **Authorized official:** DESIREE BROWN (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (718) 362-8182

## Contact information

- **Practice address:** 2401 AVENUE O, BROOKLYN, NY 11210-5134
- **Practice address phone:** (718) 362-8182
- **Practice address fax:** (718) 414-1651
- **Mailing address:** 612 CORPORATE WAY STE 2M, VALLEY COTTAGE, NY 10989-2027
- **Mailing address phone:** (718) 362-8182
- **Mailing address fax:** (718) 414-1651

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0202X | Diagnostic Radiology Physician | 219737 | NY | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | 219737 | NY | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/15/2012
- **Last updated:** 02/15/2022