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Organization
NEW YORK NEURO ENDOVASCULAR SURGERY, PC
Active
Organization
NEW YORK NEURO ENDOVASCULAR SURGERY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE CHARLES ZABLOW MD (PRESIDENT)
(914) 242-5253
Entity
Organization
Contact information
Practice address
329 MILLWOOD ROAD, CHAPPAQUA, NY 10514
(914) 238-5854
Mailing address
329 MILLWOOD ROAD, CHAPPAQUA, NY 10514
(914) 238-5854
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
128886
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01122201
—
NY
Enumeration date
09/02/2010
Last updated
10/19/2010
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